Mary L Graham

NPI #1285078410 in Mescalero, New Mexico

Provider Information

NPI Number: 1285078410
Entity Type: Individual
Name: Mary L Graham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 18, 2013
Last Updated: Apr 18, 2013

Practice Location

Address: 454 LIPAN AVE
City: Mescalero
State: New Mexico
ZIP Code: 88340
Phone: (575) 464-4802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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