Individual
ELIZABETH CATHERINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
275 CALDONIA DR, OWOSSO, MI 48817
(989) 743-3491
Mailing address
9310 MAPLE ST, NEW LOTHROP, MI 48460-9811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501005074
—
MI
Enumeration date
03/01/2018
Last updated
03/01/2018
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