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Individual

GRAHAM REAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSOT

Contact information

Practice address
1901 PHOENIX BLVD, SUITE 120, ATLANTA, GA 30349-5063
(404) 355-0743
Mailing address
4500 W VILLAGE PL SE UNIT 2316, SMYRNA, GA 30080-9250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT005790
GA
273Y00000X
Rehabilitation Hospital Unit
Primary
005790
GA

Other

Enumeration date
10/24/2013
Last updated
05/29/2025
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