MISS Andrea R Graham, LICENSED PHYSICAL TH

NPI #1407034721 in Auburn, Illinois

Provider Information

NPI Number: 1407034721
Entity Type: Individual
Name: MISS Andrea R Graham, LICENSED PHYSICAL TH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: LICENSED PHYSICAL TH
Enumeration Date: Feb 8, 2008
Last Updated: Feb 8, 2008

Practice Location

Address: 412 WEST JEFFERSON STREET
City: Auburn
State: Illinois
ZIP Code: 62615
Phone: (217) 438-6324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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