NPI | 1558324020 |
---|---|
Former Name | VELVET V GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1835) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4397) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2013-09-06 |