Individual
HALEY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
134 E COLLINS RD, FORT WAYNE, IN 46825-5302
(260) 241-6879
Mailing address
1703 3RD ST, FORT WAYNE, IN 46808-2575
(260) 415-8134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008435A
IN
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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