Individual
BLAIR H DEGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1130 N CHURCH ST, GREENSBORO, NC 27401-1038
(336) 375-2285
(336) 275-2286
Mailing address
2701 HENRY ST, GREENSBORO, NC 27405-3669
(336) 375-4263
(336) 375-4262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13022
NC
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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