Candace Brooke Graham PTA

NPI 1518254697 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1518254697
Gender Female
Enumeration Date 07/08/2011
Last Updated 07/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3125 INDEPENDENCE DR
300 B
BIRMINGHAM AL, 35209-4159, US
Phone (205) 879-7501
Fax (205) 879-0675
Business Location
3125 INDEPENDENCE DR
300 B
BIRMINGHAM AL, 35209-4159, US
Phone (205) 879-7501
Fax (205) 879-0675
Toxanomy
Taxonomy Code 225200000X
License State Alabama
License Number PTA6157
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According to our database, Candace Brooke Graham PTA NPI is 1518254697, taxonomy code is 225200000X and license number is PTA6157, license state is located at Alabama. Candace Brooke Graham PTA physically located at 3125 Independence Dr, Birmingham AL, 35209-4159. NPI Number Candace Brooke Graham PTA has the Individual type.

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1518254697 NPI number is provided on an as is basis without warranty of any kind. 1518254697 is maintained by the National Plan & Provider Enumeration System. The contents of Candace Brooke Graham PTA are for informational purposes only.