Individual
MR. COURTNEY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 N FEDERAL HWY STE 2, SOUTH, POMPANO BEACH, FL 33064-6519
(561) 707-1921
Mailing address
333 PILGRIM RD, WEST PALM BEACH, FL 33405-3213
(561) 707-1921
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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