Individual
MR. ALLEN T GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2450 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4734
(334) 528-1964
Mailing address
2450 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4734
(334) 528-1964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5601
AL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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