Individual
PAULINA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(803) 835-7026
Mailing address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(803) 835-7026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4912
SC
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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