Individual
DOROTHY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 FARMINGTON AVE, BRISTOL, CT 06010-3990
(860) 582-8024
(860) 585-0609
Mailing address
61 HIGH ST, TERRYVILLE, CT 06786-5413
(860) 202-7828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004073
CT
Other
Enumeration date
01/28/2016
Last updated
09/07/2023
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