Individual
AMANDA MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9425 N NEVADA ST STE 100, SPOKANE, WA 99218-1286
(509) 624-3115
Mailing address
4823 W PRINCETON PL, SPOKANE, WA 99205-1957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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