Individual
MRS. DONNA REID GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4355 BARWICK RD, QUITMAN, GA 31643-4805
(229) 977-1590
(229) 224-5002
Mailing address
4355 BARWICK RD, QUITMAN, GA 31643-4805
(229) 977-1590
(229) 224-5002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000479
GA
224Z00000X
Occupational Therapy Assistant
OTA12259
FL
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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