Individual
LANELL MAE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
130 W 4TH ST, VALENTINE, NE 69201-1830
(402) 376-1140
(402) 376-1140
Mailing address
130 W 4TH ST, VALENTINE, NE 69201-1830
(402) 376-1140
(402) 376-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2861
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026179000
—
NE
Enumeration date
06/21/2011
Last updated
07/21/2022
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