MRS. Tracie Renee Graham, O.T.

NPI #1265550875 in West Memphis, Arkansas

Provider Information

NPI Number
1265550875
Entity Type
Individual
Name
MRS. Tracie Renee Graham, O.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
O.T.
Enumeration Date
Mar 26, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
413 W. TYLER COVE
ZIP Code
72301
Phone
(870) 733-1200

Specialties & Taxonomy Codes

Specialty
Specialist

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