Individual
DIANE ALICE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8115 E INDIAN BEND RD, SUITE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
(480) 951-6464
Mailing address
6101 E HOLLYHOCK ST, APT 1, PHOENIX, AZ 85018-6748
(480) 947-1004
(480) 951-6464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0153
AZ
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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