Individual
LORI GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 ESTATE SMITH BAY, ST THOMAS, VI 00802-1324
(340) 714-2348
Mailing address
15531 UPPER CAROLINA, ST JOHN, VI 00830-9518
(317) 691-4608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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