Individual
MRS. KIM CORBIN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
710 JULIAN RD, SALISBURY, NC 28147-9079
(704) 636-5812
Mailing address
3213 ELLIOT JACOB AVE, KANNAPOLIS, NC 28083-7606
(704) 787-4265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6518
NC
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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