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LYNN MARIE GRAHAM MS PT, PA-C MPAS

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1548594591

Individual Registrant:
 LYNN MARIE GRAHAM MS PT, PA-C MPAS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
440 W LAUREL AVE  PLENTYWOOD, MT 59254-1596 US
Tel: 406-493-3718  Fax: --

Contact information for business:
12499 CLAIMSTAKE CT  LOLO, MT 59847-9435 US
Tel: 406-493-5973  Fax: --

Registration Information:
NPI: 1548594591
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MT1683PT
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
MT581

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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