Individual
JESSICA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 SCOTTSVILLE RD, H6, BOWLING GREEN, KY 42104-2401
(502) 345-3365
Mailing address
1329 SCOTTSVILLE RD, H6, BOWLING GREEN, KY 42104-2401
(502) 345-3365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00210268
KY
225X00000X
Occupational Therapist
117255
TX
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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