Joseph Graham, DPT
Physical Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164092649
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1164092649
- Entity type
- Individual (NPI-1)
- Name
- Joseph Graham
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2021
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT304343 | CA | Yes |
Practice location
1640 Marengo St Ste 102Los Angeles, CA 90033-1061
Phone 323-865-1200
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 323-865-1200
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