Individual
MONIQUE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 N 3RD ST, PATERSON, NJ 07522-1315
(973) 809-4902
Mailing address
154 N 3RD ST, PATERSON, NJ 07522-1315
(973) 809-4902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09118100
NJ
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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