Individual
CHRISTOPHER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 386-6884
Mailing address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 386-6884
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10959
LA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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