Individual
LAURA H GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11824 VIA GRANDE DR, AUSTIN, TX 78739-1925
(361) 658-0356
Mailing address
11824 VIA GRANDE DR, AUSTIN, TX 78739-1925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108801
TX
Other
Enumeration date
05/08/2007
Last updated
10/30/2020
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