Individual
RICKI DONNELL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-6339
(214) 295-5374
(214) 245-5217
Mailing address
11116 BRADLEY CIR, FORNEY, TX 75126-7725
(469) 595-3828
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1088854
TX
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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