ASHLEY GRAHAM, OTR/L LLC; NPI #1124654504

Contact Information

ASHLEY GRAHAM, OTR/L LLC

2506 DIFFEE DR
TAHLEQUAH, OK 74464-5721

Phone: 405-501-1547
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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

NPI Number 1124654504

LBN Legal business name ASHLEY GRAHAM, OTR/L LLC

Authorized official ASHLEY GRAHAM - (OCCUPATIONAL THERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/18/2020

Last updated 02/25/2021 - About 5 years ago

Identifiers

Other

NONE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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