Search › Wisconsin › 225200000X
Mark Graham, LPTA
NPI 1821265992 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5617 W Silverleaf Ln
Brown Deer, WI 53223 - Phone
- (414) 704-8880
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-08
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 Wisconsin