Individual
MARY KATHERINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 FITNESS WAY STE D, ATHENS, AL 35611-2452
(256) 867-0100
(256) 867-0188
Mailing address
209 FITNESS WAY STE D, ATHENS, AL 35611-2452
(256) 867-0100
(256) 867-0188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11536
AL
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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