Individual
MS. CARISSE CHRISTINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1665 HAMILTON RD STE 100, OKEMOS, MI 48864-1809
(517) 349-1110
(517) 349-6892
Mailing address
1665 HAMILTON RD STE 100, OKEMOS, MI 48864-1809
(517) 349-1110
(517) 349-6892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1252818
TX
225100000X
Physical Therapist
Primary
5501016147
MI
225100000X
Physical Therapist
PTL.0016875
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207460
LABOR & INDUSTRIES
WA
05
—
8447187
—
WA
Enumeration date
08/31/2006
Last updated
04/18/2025
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