Individual
SARA BLYTHE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25335 BUDDE RD APT 134, SPRING, TX 77380-2228
(281) 622-5160
Mailing address
25335 BUDDE RD APT 134, SPRING, TX 77380-2228
(281) 622-5160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072521
TX
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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