Provider Demographics
NPI:1073508339
Name:INGARD, ANNE R (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:R
Last Name:INGARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CLOVER TER
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5400
Mailing Address - Country:US
Mailing Address - Phone:508-655-5786
Mailing Address - Fax:508-653-3069
Practice Address - Street 1:10 UNION ST
Practice Address - Street 2:STE 2D
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4759
Practice Address - Country:US
Practice Address - Phone:508-655-5786
Practice Address - Fax:508-653-3069
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y65219Medicare ID - Type Unspecified