Individual
MRS. KORIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 S. COLUMBIA RD., GRAND FORKS, ND 58201
(701) 780-6000
Mailing address
4750 33RD AVE. NE, FORDVILLE, ND 58231
(719) 201-9548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1024205
ND
Other
Enumeration date
05/05/2007
Last updated
11/05/2012
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