Individual
THEODORA S. GRAVES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 ORTING/KAPOWSIN HWY, ORTING, WA 98360
(360) 893-4516
Mailing address
23608 RIM RD, GRAHAM, WA 98338-7236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000428
WA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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