Individual
MEGAN M GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
794 LAGRANGE RD, NEW CASTLE, KY 40050-6745
(502) 751-2031
Mailing address
794 LAGRANGE RD, NEW CASTLE, KY 40050-6745
(502) 751-2031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
161460
KY
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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