Individual
RUTH MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9563 LAGUNA SPRINGS DR, ELK GROVE, CA 95758-8204
(916) 691-9822
(916) 691-9448
Mailing address
9563 LAGUNA SPRINGS DR, ELK GROVE, CA 95758-8204
(916) 691-9822
(916) 691-9448
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT11866
CA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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