National Provider Identifier Database

ASHLEY GRAHAM OTRL LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

ASHLEY GRAHAM, OTR/L LLC
2506 DIFFEE DR
TAHLEQUAH, OK74464-5721
Phone: 405-501-1547
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for ASHLEY GRAHAM, OTR/L LLC

NPI Number 1124654504
Legal business name
LBN
ASHLEY GRAHAM, OTR/L LLC
Authorized official ASHLEY GRAHAM - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 03/18/2020
Last updated 02/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: NONE NONE

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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