Doctor Name: | ANDREW GRAHAM |
NPI Number: | 1073613576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 10903 |
Business Practice Address: | 6444 Monroe St Suite B Sylvania, OH - 435601454 |
Business Phone Number: | 4198243434 |
Business Fax Number: | 4198243435 |
Mailing Address: | 807 Waterville Monclova Rd, WATERVILLE |
State: | OH |
Postal Code: | 435661146 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |