Individual
ELISABETH ROWAN GRAHAM
Active
Individual
ELISABETH ROWAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434W
BCBS
NC
01
—
6400040
UNITED HEALTHCARE
—
05
—
8300041K
—
NC
Enumeration date
12/22/2006
Last updated
07/09/2007
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