Graham, Virginia

Graham, Virginia is an sole proprietor health care provider with primary practice located at 430 Braddock Ave , Daytona Beach FL 32118-4616. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Graham, Virginia can be contacted via phone (386) 258-1618.

Contact Information

Primary practice address
430 Braddock Ave Daytona Beach FL 32118-4616
Phone: (386) 258-1618
Fax: (386) 253-4215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 221700000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X VG14981 Florida

Profile Details

NPI number 1518192772
LBN Legal business name Graham, Virginia
Credentials PHD, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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