Individual
MRS. CAROLYNN ELIZABETH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.L.
Contact information
Practice address
348 LONG RAPIDS PLZ, ALPENA, MI 49707-1374
(989) 358-8086
Mailing address
6417 CHURCH ST, CASS CITY, MI 48726-1115
(989) 657-1501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009735
MI
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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