Individual
MS. LETICIA R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
323 CAMPUS DR, ARVIN, CA 93203-1047
(663) 854-4475
Mailing address
323 CAMPUS DR, ARVIN, CA 93203-1047
(663) 854-4475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1645
CA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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