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Contact Information

ANDREA R GRAHAM, LICENSED PHYSICAL TH
412 WEST JEFFERSON STREET
AUBURN, IL62615
 Phone: 217-438-6324
 Fax: 217-438-6532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANDREA R GRAHAM · (Female)

NPI # 1407034721
Status Active
Credentials LICENSED PHYSICAL TH
Entity Individual
Enumeration date 02/08/2008
Last updated 02/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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