Individual
HEATHER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
605 MAIN ST, HACKENSACK, NJ 07601
(201) 488-0488
(908) 684-3301
Mailing address
605 MAIN STREET, HACKENSACK, NJ 07601
(201) 488-0488
(908) 684-3301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01511200
NJ
Other
Enumeration date
10/03/2013
Last updated
07/02/2014
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