Individual
MRS. LAUREN MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7573
Mailing address
1130 ANDREW DR, MORGANTOWN, WV 26508-6842
(540) 355-6931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002355
WV
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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