Individual
MRS. SUZANNE EARNEST GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
103 ARCARO PL, BRENTWOOD, TN 37027-5061
(812) 760-7028
Mailing address
208 KEY CT, BRENTWOOD, TN 37027-5437
(615) 712-7246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4047
TN
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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