Individual
BILL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3315 E MICHIGAN AVE STE 4, LANSING, MI 48912-4649
(517) 364-8600
Mailing address
525 S JEFFERSON ST, MASON, MI 48854-1611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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