Penny L Graham in Dover - Developmental Therapist
Penny L Graham - NPI 1730268129
Penny L Graham is a Developmental Therapist in Dover, Florida. Penny L Graham practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Penny L Graham is 1730268129. The last update date is 2007-07-08.
Penny L Graham's current location address is 2109 Herndon St, Dover, Florida. You can contact this provider via phone number 8134044142. The mailing address for Penny L Graham is 2109 Herndon St, Dover, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny L Graham |
|---|---|
| Address | 2109 Herndon St, Dover, Florida |
| Phone Number | 8134044142 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730268129 |
|---|---|
| Provider Enumeration Date | 2006-11-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2109 Herndon St |
|---|---|
| City | Dover |
| State | Florida (FL) |
| Post Code | 335276349 |
| Phone Number | 8134044142 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Penny L Graham?
The Penny L Graham has been issued the NPI (National Provider Identifier) 1730268129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Penny L Graham's physical address?
The Penny L Graham is physically located at 2109 Herndon St, in the city of Dover, FL, with the postal code 335276349.
What is the area of specialization for Penny L Graham, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Penny L Graham is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730268129 to Penny L Graham?
The Centers for Medicare & Medicaid Services originally issued the 1730268129 to Penny L Graham on 2006-11-04.
When was the Penny L Graham's information last updated?
The Penny L Graham's information was last updated on 2007-07-08.
NPI Number: 1215930573
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