Individual
NANCY SPANN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4104
(423) 844-4149
Mailing address
4829 HIGHWAY 421, BRISTOL, TN 37620-0634
(423) 878-5880
(423) 878-5880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
967
TN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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