Individual
CHRISTINE MARIE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
373 JAMBASH PEAK RD, NEWPORT, VT 05855-8650
(802) 334-8012
Mailing address
373 JAMBASH PEAK RD, NEWPORT, VT 05855-8650
(802) 334-8012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002168
VT
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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