DEBORAH V GRAHAM

FORT WORTH, TX
NPI1497012074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  52)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  52)
Enumeration Date2012-04-19
Last Update Date2012-04-19
Business Address
-- DEBORAH V GRAHAM LCPO
1719 8TH AVE
FORT WORTH, TX 76110-1349
Phone number: 682-885-6294
Mailing Address
-- DEBORAH V GRAHAM LCPO
PO BOX 99283
FORT WORTH, TX 76199-0283
Phone number: 817-877-0294