Individual
MISS REBECCA MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
11063 SHAWNEE PATH, LAKEVIEW, OH 43331-9120
(937) 935-1542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010224
OH
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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