Individual
SUSAN KAY GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2120 BENTON DR, REDDING, CA 96003-2151
(530) 243-2220
(530) 242-8349
Mailing address
16991 TEXAS SPRINGS RD, REDDING, CA 96001-4310
(530) 243-0446
(530) 242-8349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1259
CA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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