Whalio Doctors

NPI 1124675681

Taylor Craven Graham, OTA

Practitioner Occupational Therapy Assistant Tupelo, MS

Practice location

Address
90 Clark Blvd STE a, Tupelo, MS 38804-2801
Phone
(662) 840-0535
Fax
(662) 842-7915
Mailing address
PO Box 3592, Tupelo, MS 38803-3592

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA2914 (MS)

Registry record

NPI
1124675681
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Aug 2019
Record last updated
20 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.