Individual
CINDY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1260 15TH ST, SUITE 900, SANTA MONICA, CA 90404-1135
(310) 319-4646
Mailing address
1260 15TH ST, SUITE 900, SANTA MONICA, CA 90404-1135
(310) 319-4646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15428
MEDICARE GROUP ID NUMBER
CA
Enumeration date
03/19/2007
Last updated
09/23/2015
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