Individual
MIA CATHERINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, DOT
Contact information
Practice address
300 W CLARENDON AVE STE 285, PHOENIX, AZ 85013-3474
(602) 277-3686
(602) 279-6934
Mailing address
300 W CLARENDON AVE STE 285, PHOENIX, AZ 85013-3474
(602) 277-3686
(602) 279-6934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008972
AZ
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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