Individual
CHRISTINA ELAINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(505) 553-5864
Mailing address
775 GATEWAY DR SE APT 1107, LEESBURG, VA 20175-4043
(505) 553-5864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1576
WV
Other
Enumeration date
08/21/2008
Last updated
11/14/2012
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