Individual
GRAEME LAURISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T
Contact information
Practice address
2629 E ROSE GARDEN LN, PHOENIX, AZ 85050-4605
(480) 449-9000
(480) 449-9200
Mailing address
2629 E ROSE GARDEN LN, PHOENIX, AZ 85050-4605
(480) 449-9000
(480) 449-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10352PT
AZ
225100000X
Physical Therapist
PT23805
FL
Other
Enumeration date
03/17/2010
Last updated
07/09/2013
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