Search › California › 225200000X
Gary Graham, PTA
NPI 1700274586 · on the registry since 2015 · sole proprietor
Practice
- Address
- 760 Canyon Oaks Dr
Apt C
Oakland, CA 94605 - Phone
- (901) 619-7031
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- TN, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California