Individual
DEBORAH V GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
1719 8TH AVE, FORT WORTH, TX 76110-1349
(682) 885-6294
(682) 885-1135
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-0283
(817) 877-0294
(817) 877-0304
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
52
TX
224P00000X
Prosthetist
Primary
52
TX
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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