Individual
MR. JOHN GRAY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 485-2775
(906) 486-1136
Mailing address
520 S BIG CREEK RD, MARQUETTE, MI 49855-9210
(906) 249-5249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003771
MI
Other
Enumeration date
02/09/2011
Last updated
02/14/2011
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