Individual
SUZANNE THOMAS GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
310 W 11TH ST, SILVER CITY, NM 88061-5113
(575) 534-1187
(575) 534-1439
Mailing address
310 W 11TH ST, SILVER CITY, NM 88061-5113
(575) 534-1187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2117
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65139721
—
NM
Enumeration date
10/18/2006
Last updated
02/02/2017
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