Individual
MARY-KATHERINE GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
Mailing address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4207032
BLUE CROSS BLUE SHIELD TENNESSEE
TN
01
—
P00819868
PALMETTO GBA-RAILROAD MEDICARE
TN
Enumeration date
03/10/2008
Last updated
08/25/2010
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