Individual
JANE GRAHAM ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 INTERNATIONAL PKWY, SUITE 300, LAKE MARY, FL 32746-5061
(180) 080-6602
Mailing address
1709 28TH ST, VIENNA, WV 26105-3345
(304) 615-9659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005250
OH
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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