| Doctor Name: | BENJAMIN ANDREW GRAHAM |
| NPI Number: | 1912207382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT 25584 |
| Business Practice Address: | 1701 S Waverly Rd Suite 109 Lansing, MI - 489174300 |
| Business Phone Number: | 5173677851 |
| Business Fax Number: | 5173677857 |
| Mailing Address: | 1701 S Waverly Rd, Suite 109 LANSING |
| State: | MI |
| Postal Code: | 489174300 |
| Phone Number: | 5173677851 |
| Fax Number: | 5173677857 |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 11/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 25584 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |