Individual
CHARLES E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
834 N SOCORA ST, STE 1, WICHITA, KS 67212-3279
(316) 440-3731
(316) 440-3741
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02494
KS
Other
Enumeration date
01/16/2007
Last updated
02/25/2016
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