Individual
DOMINIQUE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6201 CENTREVILLE RD, CENTREVILLE, VA 20121-2626
(703) 263-2095
Mailing address
8110 GATEHOUSE RD STE 300W3080, FALLS CHURCH, VA 22042-1252
(703) 289-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211949
VA
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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