Individual
COREY KENDALL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2100 W HUDSON RD, ROGERS, AR 72756-2102
(479) 340-1100
Mailing address
2100 W HUDSON RD, STE 3, ROGERS, AR 72756-2181
(407) 479-2015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
05/18/2022
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