Mark Laron Graham in Brown Deer - Physical Therapy Assistant
Mark Laron Graham - NPI 1821265992
Mark Laron Graham is a Physical Therapy Assistant in Brown Deer, Wisconsin. Mark Laron Graham practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mark Laron Graham is 1821265992. The last update date is 2008-05-08.
Mark Laron Graham's current location address is 5617 W Silverleaf Ln, Brown Deer, Wisconsin. You can contact this provider via phone number 4147048880. The mailing address for Mark Laron Graham is 5617 W Silverleaf Ln, Brown Deer, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Laron Graham |
|---|---|
| Address | 5617 W Silverleaf Ln, Brown Deer, Wisconsin |
| Phone Number | 4147048880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1821265992 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 5617 W Silverleaf Ln |
|---|---|
| City | Brown Deer |
| State | Wisconsin (WI) |
| Post Code | 532231656 |
| Phone Number | 4147048880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 808-019 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Mark Laron Graham's 1821265992?
The Mark Laron Graham's NPI (National Provider Identifier) Number is 1821265992. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Laron Graham located?
The Mark Laron Graham is located at 5617 W Silverleaf Ln, Brown Deer, WI 532231656.
What is Mark Laron Graham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Laron Graham's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did the Mark Laron Graham receive its 1821265992 assignment from the Centers for Medicare & Medicaid Services?
The Mark Laron Graham was assigned its 1821265992 by the Centers for Medicare & Medicaid Services on 2008-05-08.
As of what date were the details related to Mark Laron Graham most recently updated or revised?
The information pertaining to Mark Laron Graham, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.