Individual
MRS. DIANNE HENSGENS GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7932 SUMMA AVE, SUITE B3, BATON ROUGE, LA 70809-3416
(225) 769-9203
Mailing address
7932 SUMMA AVE, SUITE B3, BATON ROUGE, LA 70809-3416
(225) 769-9203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04454
LA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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