Individual
MR. JOHN W GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
298 S DELSEA DR, VINELAND, NJ 08360-4568
(856) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40QA00514500
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00514500
NJ
Other
Enumeration date
06/16/2006
Last updated
04/29/2020
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