Individual
PETER INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 OCEAN ST STE 2, SOUTH PORTLAND, ME 04106-2854
(207) 400-6393
Mailing address
27 OCEAN ST STE 2, SOUTH PORTLAND, ME 04106-2854
(207) 400-6393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8043
ME
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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