Individual
JANA L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
100 HWY 123, DEWEY, OK 74029
(615) 896-6400
Mailing address
920 S OSAGE AVE, BARTLESVILLE, OK 74003-4947
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
354
OK
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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