Individual
CANDACE BROOKE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3125 INDEPENDENCE DR, 300 B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, 300 B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6157
AL
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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