Doctor Name: | SARAH JO GRAHAM |
NPI Number: | 1386758464 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | RPT-1804 |
Business Practice Address: | 457 S Fitness Pl Suite 100 Eagle, ID - 836166568 |
Business Phone Number: | 2089393332 |
Business Fax Number: | 2089393338 |
Mailing Address: | 278 S Neskowin Way, EAGLE |
State: | ID |
Postal Code: | 836164964 |
Phone Number: | 2089398176 |
Fax Number: | 2089393338 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | RPT-1804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |