Individual
ELDON V GRAHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3751 S STATE RD, IONIA, MI 48846-9478
(616) 522-0066
(616) 527-1667
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048143
NY
225100000X
Physical Therapist
Primary
5501021566
MI
Other
Enumeration date
12/18/2021
Last updated
05/15/2023
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