Individual
BENJAMIN ANDREW GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1701 S WAVERLY RD, SUITE 109, LANSING, MI 48917-4300
(517) 367-7851
(517) 367-7857
Mailing address
1701 S WAVERLY RD, SUITE 109, LANSING, MI 48917-4300
(517) 367-7851
(517) 367-7857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004711
MI
225100000X
Physical Therapist
PT 25584
FL
Other
Enumeration date
11/01/2010
Last updated
11/12/2014
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