Individual
AMY LEIGH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5544 GREENWICH RD, STE 300, VIRGINIA BEACH, VA 23462-6563
(757) 499-2303
Mailing address
534 MARSH DUCK WAY, VIRGINIA BEACH, VA 23451-6559
(540) 580-7941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005323
VA
Other
Enumeration date
02/09/2011
Last updated
04/19/2016
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