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Individual

MICHELLE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
119 S MAIN ST, SUITE 500, MEMPHIS, TN 38103-3647
(901) 312-5600
(901) 312-5605
Mailing address
119 S MAIN ST, SUITE 500, MEMPHIS, TN 38103-3647
(901) 312-5600
(901) 312-5605

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2277
TN

Other

Enumeration date
03/11/2011
Last updated
03/11/2011
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