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
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301
- Phone
- (870) 733-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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