Individual
MRS. ANN MARIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1505 PATTON DR, BRIDLE BROOK ASSISTED LIVING, MAHOMET, IL 61853-8116
(217) 586-3200
Mailing address
523 HAWTHORNE DR, SAINT JOSEPH, IL 61873-8429
(217) 469-7265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002370
IL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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