Individual
DR. GLENN SCOTT GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7532 W SAND LAKE RD, ORLANDO, FL 32819-5110
(407) 363-0052
(407) 363-0566
Mailing address
7532 W SAND LAKE RD, ORLANDO, FL 32819-5110
(407) 363-0052
(407) 363-0566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7147
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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