Individual
DR. AMANDA MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1-0002958
DE
225100000X
Physical Therapist
J1-0002958
DE
Other
Enumeration date
02/20/2013
Last updated
03/28/2024
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