Organization
B L GRAHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L GRAHAM (OCCUPATIONAL THERAPIST)
(803) 747-0736
Entity
Organization
Contact information
Practice address
611 MULBERRY ST, ORANGEBURG, SC 29118-2856
(803) 747-0736
Mailing address
611 MULBERRY ST, ORANGEBURG, SC 29118-2856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
383
SC
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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