NPI 1275664708

Amy Melissa Graves, OTRL

Practitioner Contractor Little Rock, AR

Practice location

Address: 11517 Kanis Rd, Little Rock, AR 72211-3724
Phone: (501) 993-7171
Fax: (501) 223-8075
Mailing address: 8 Winona Dr, Maumelle, AR 72113-6301

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence OTR1609 (AR)

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Registry record

NPI: 1275664708
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2007
Record last updated: 8 Jul 2007

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.