Individual
ANDREW GRAEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 STONINGTON DR, BRANDON, MS 39047-6518
(601) 214-8326
Mailing address
203 STONINGTON DR, BRANDON, MS 39047-6518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60477672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60477672
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/28/2015
Last updated
08/28/2015
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