Individual
MS. CASEY R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
1 PARK PL, ELMIRA, NY 14901-2085
(607) 735-1800
Mailing address
RR 2 BOX 118, PITTSFIELD, PA 16340-9309
(814) 688-5160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001482
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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