| NPI | 1477781722 |
|---|---|
| Former Name | EMILY JO GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04362) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 200913446) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-05-08 |