Organization
WONDERFULLY MADE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA JOHNSTON GRAHAM OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(256) 577-2682
Entity
Organization
Contact information
Practice address
528 KELSEY AVE STE A, MUSCLE SHOALS, AL 35661-1563
(256) 577-2682
(678) 806-4806
Mailing address
528 KELSEY AVE STE A, MUSCLE SHOALS, AL 35661-1563
(256) 577-2682
(678) 806-4806
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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