Individual
LORI GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
49 FISHING TRL, STAMFORD, CT 06903-2423
(203) 829-5349
Mailing address
49 FISHING TRL, STAMFORD, CT 06903-2423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001803
NY
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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