AMANDA NICOLE GRAHAM

KINGSPORT, TN
NPI1750987707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7194)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
AMANDA NICOLE GRAHAM LPTA
875 LARRY NEIL WAY
KINGSPORT, TN 37660-6368
Phone number: 423-282-9572
Mailing Address
AMANDA NICOLE GRAHAM LPTA
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011