Individual
MRS. STEPHANIE GAYLE DUFFY-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1030 GROVE AVE, APT. 27G, EDISON, NJ 08820-1590
(732) 642-5957
Mailing address
1030 GROVE AVE APT 27G, EDISON, NJ 08820-1539
(732) 642-5957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00100700
NJ
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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