NPI 1124675681
Taylor Craven Graham, OTA
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
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.