Scott T Graham PT

NPI 1750300497 - Physical Therapist - 225100000X

NPI Details
NPI 1750300497
Gender Male
Enumeration Date 07/19/2006
Last Updated 03/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2902 FORUM BLVD
SUITE 104
COLUMBIA MO, 65203-5404, US
Phone (573) 442-5268
Fax (573) 442-5278
Business Location
3301 BERRYWOOD DR
SUITE 204
COLUMBIA MO, 65201-6517, US
Phone (573) 449-8771
Fax (573) 449-6563
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2000174343
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According to our database, Scott T Graham PT NPI is 1750300497, taxonomy code is 225100000X and license number is 2000174343, license state is located at Missouri. Scott T Graham PT physically located at 2902 Forum Blvd, Columbia MO, 65203-5404. NPI Number Scott T Graham PT has the Individual type.

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1750300497 NPI number is provided on an as is basis without warranty of any kind. 1750300497 is maintained by the National Plan & Provider Enumeration System. The contents of Scott T Graham PT are for informational purposes only.