Individual
SOPHIA DENISE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRN PTA
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
(832) 240-4757
Mailing address
8531 RIVERBEND CANYON LN, HOUSTON, TX 77089-2572
(832) 244-7561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078618
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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