Individual
MR. RAHSAAN JAMAL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
114 W 91ST ST, NEW YORK, NY 10024-1302
(917) 922-8775
Mailing address
700 COLUMBUS AVE APT 17E, NEW YORK, NY 10025-6629
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0102241
NY
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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