Individual
MS. JAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Mailing address
3100 OLD SALISBURY CONCORD RD, CONCORD, NC 28025-1545
(980) 521-0601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0661
NC
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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