Individual
MS. ERICA DON GRAHOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
6500 SAINT JOE RD, APARTMENT 605, FORT WAYNE, IN 46835-1964
(260) 715-1867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
32002159A
IN
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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