Individual
MRS. TESS MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
10940 E US HIGHWAY 36, AVON, IN 46123-7980
(317) 808-7000
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010859A
IN
Other
Enumeration date
08/10/2012
Last updated
04/25/2017
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