Individual
MISS SUSANNA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 260-1243
Mailing address
PO BOX 75, DUNDEE, MI 48131-0075
(734) 265-7460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009778
MI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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