Individual
ZACH P GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1940 WESTLAND DR SW, CLEVELAND, TN 37311-8102
(423) 813-3600
Mailing address
6333 FRANKFURT RD, OOLTEWAH, TN 37363-5584
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6702
TN
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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