Individual
MR. RICHARD MARTIN GRAVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
805 TILGHMAN DR STE C, DUNN, NC 28334-5883
(866) 891-2677
Mailing address
805 TILGHMAN DR STE C, DUNN, NC 28334-5883
(866) 891-2677
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0588
NC
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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