Individual
AMANDA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5 HANOVER SQ, NEW YORK, NY 10004-2614
(212) 769-1699
Mailing address
343 E 21ST ST APT 4, NEW YORK, NY 10010-6538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052700-01
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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