National Provider Identifier
Tina Graham, PTA
Tina Graham, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Jamestown, NY and a listed phone number of (716) 488-2322.
Profile Overview
- NPI
- 1790038503
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- October 17, 2012
- Last Updated
- October 17, 2012
Practice Location
- 15 S Main St
- Suite 220
- Jamestown, NY 14701-6626
Phone: (716) 488-2322
Mailing Address
- 28B Shirley Ln
- Jamestown, NY 14701-2713
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1790038503
- Entity Type
- Individual
- Last Name
- Graham
- First Name
- Tina
- Credential
- PTA
- Mailing Street Address
- 28B Shirley Ln
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2713
- Mailing Country
- US
- Mailing Phone
- (716) 488-2322
- Mailing Fax
- (716) 488-2574
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 220
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 488-2322
- Practice Fax
- (716) 488-2574
- Enumeration Date
- October 17, 2012
- Last Updated
- October 17, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)