Individual
KELLY LING GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 KINGFISHER, LAKE ORION, MI 48359-1754
(717) 799-8635
Mailing address
290 KINGFISHER, LAKE ORION, MI 48359-1754
(717) 799-8635
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010272
MI
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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