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Individual

ALEXANDER D GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
87 N GLEN OAK DR, SPRINGBORO, OH 45066-8133
(937) 674-6700
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.011472
OH

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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