Individual
SHANNON LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34505 W 12 MILE RD STE 100, FARMINGTON HILLS, MI 48331-3287
(734) 343-7500
Mailing address
19170 SMOCK, NORTHVILLE, MI 48167-2624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001459
MI
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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