Individual
MR. DERIC GRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 NEIL AVE, COLUMBUS, OH 43215-1609
(614) 228-8888
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
008538
OH
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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