Ashley Graham, Otr/l LLC

NPI #1124654504 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1124654504
Entity Type: Organization
Organization Name: Ashley Graham, Otr/l LLC
Primary Specialty: Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date: Mar 18, 2020
Last Updated: Feb 25, 2021

Practice Location

Address: 2506 DIFFEE DR
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-5721
Phone: (405) 501-1547

Authorized Official

Name: ASHLEY GRAHAM
Title: OCCUPATIONAL THERAPIST
Phone: (405) 501-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	Primary

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