MR. Sharrod David Graham, ATC,CSCS
NPI #1871545798 in Park Forest, Illinois
Provider Information
- NPI Number
- 1871545798
- Entity Type
- Individual
- Name
- MR. Sharrod David Graham, ATC,CSCS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC,CSCS
- Enumeration Date
- May 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 110 LESTER RD
- Address 2
- B
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2012
- Phone
- (773) 419-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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