Individual
CARRIE ODETTA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.ATC
Contact information
Practice address
UNIVERSITY OF CONNECTICUT - KINESIOLOGY, 2095 HILLSIDE ROAD , UNIT 1110, STORRS, CT 06269-1110
(860) 486-1118
(860) 486-1123
Mailing address
UNIVERSITY OF CONNECTICUT - KINESIOLOGY, 2095 HILLSIDE ROAD , UNIT 1110, STORRS, CT 06269-1110
(860) 486-1118
(860) 486-1123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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