Individual
ALYSON JADE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 ISAACS ORCHARD RD STE D, SPRINGDALE, AR 72762-6285
(479) 209-0401
Mailing address
1201 PINE HOLLOW DR, VAN BUREN, AR 72956-7915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4223
AR
Other
Enumeration date
06/15/2023
Last updated
06/19/2023
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