National Provider Identifier

Joann Marie Ingham, MS, PT

Joann Marie Ingham, MS, PT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Buffalo, NY and a listed phone number of (716) 836-5929.

NPI 1336442524Buffalo, NYPediatric Physical Therapist

Profile Overview

NPI
1336442524
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
December 10, 2010
Last Updated
December 10, 2010

Practice Location

  • 2495 Main St
  • Suite 234
  • Buffalo, NY 14214-2152

Phone: (716) 836-5929

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1336442524
Entity Type
Individual
Last Name
Ingham
First Name
Joann
Middle Name
Marie
Name Prefix
Mrs.
Credential
MS, PT
Provider Other Last Name
Holla
Provider Other First Name
Joann
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
MS, PT
Provider Other Last Name Type Code
1
Mailing Street Address
2495 Main St
Mailing Address Line 2
Suite 234
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2152
Mailing Country
US
Mailing Phone
(716) 836-5929
Mailing Fax
(716) 836-6057
Practice Street Address
2495 Main St
Practice Address Line 2
Suite 234
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2152
Practice Country
US
Practice Phone
(716) 836-5929
Practice Fax
(716) 836-6057
Enumeration Date
December 10, 2010
Last Updated
December 10, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)