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LYNN MARIE GRAHAM MS PT, PA-C MPAS
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1548594591
Individual Registrant: LYNN MARIE GRAHAM MS PT, PA-C MPAS
Gender: F
Not Sole Proprietor
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: --
Tel: 406-493-3718 Fax: --
Contact information for business:
12499 CLAIMSTAKE CT LOLO, MT 59847-9435 US
Tel: 406-493-5973 Fax: --
Tel: 406-493-5973 Fax: --
Registration Information:
NPI: 1548594591
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | MT | 1683PT |
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | MT | 581 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
