| NPI | 1295124568 |
|---|---|
| Former Name | EMILY ANNE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH7936) |
| 225100000X Physical Therapist (Licence: MS PT5612) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2018-06-14 |