Individual
DR. AMANDA MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
65 CARVER RD, DOVER, DE 19904-2715
(302) 672-1960
Mailing address
198 DELHI CT, SMYRNA, DE 19977-4857
(443) 604-2908
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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