Individual
JESSICA LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1401 SW PARKRIDGE BLVD STE A, LAWTON, OK 73505-9200
(580) 730-8015
Mailing address
1401 SW PARKRIDGE BLVD STE A, LAWTON, OK 73505-9200
(580) 730-8015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1105715
KS
225100000X
Physical Therapist
Primary
5263
OK
225100000X
Physical Therapist
9689
TN
Other
Enumeration date
04/08/2013
Last updated
02/10/2023
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