| Ms Carolyn A Ingraham, PT | |
|
4923 Us Route 5, Sojourns Community Health Clinic, Westminster, VT 05158 | |
| (802) 722-4023 | |
| (802) 722-4137 |
| Full Name | Ms Carolyn A Ingraham |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4923 Us Route 5, Westminster, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972513901 | NPI | - | NPPES |
| 11325860 | Other | CAQH | |
| 1010414 | Medicaid | VT | |
| 59856 | Other | VT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0400003171 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carolyn A Ingraham, PT 4923 Us Route 5, Westminster, VT 05158 Ph: (802) 722-4023 | Ms Carolyn A Ingraham, PT 4923 Us Route 5, Sojourns Community Health Clinic, Westminster, VT 05158 Ph: (802) 722-4023 |
Dr. Susanne Booth, ND, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4923 Us Route 5, Westminster, VT 05158 Phone: 802-722-4023 | |
Angelique Priscilla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4923 Us Route 5, Sojourns Community Health Clinic, Westminster, VT 05158 Phone: 802-722-4023 Fax: 802-722-4137 |