Individual
OMAR GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
261 CONNECTICUT DR, SUITE 5, BURLINGTON, NJ 08016-4177
(800) 950-6066
Mailing address
24 REVERE WAY, SICKLERVILLE, NJ 08081-9686
(609) 707-2525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00353600
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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