Individual
MR. CHARLES P. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
115 BLARNEY DRIVE, SUITE 202, COLUMBIA, SC 29223
(803) 736-4845
(803) 736-8674
Mailing address
115 BLARNEY DRIVE, SUITE 202, COLUMBIA REHABILITATION CLINIC, INC., COLUMBIA, SC 29223
(803) 736-4845
(803) 736-8674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3475
SC
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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