GARY LYNN GRAHAM

OAKLAND, CA
NPI1700274586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  9487)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: TN  4821)
Enumeration Date2015-01-02
Last Update Date2015-01-02
Business Address
MR. GARY LYNN GRAHAM PTA
760 CANYON OAKS DR APT C
OAKLAND, CA 94605-3869
Phone number: 901-619-7031
Mailing Address
MR. GARY LYNN GRAHAM PTA
760 CANYON OAKS DR APT C
OAKLAND, CA 94605-3869
Phone number: 901-619-7031