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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY GRAHAM

Active Sole Proprietor

CARLY GRAHAM is a Physical Therapy Assistant healthcare provider located in MARIETTA, New York. NPI 1356706287 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MARIETTA, NY

Registration Details

NPI Number
1356706287
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2015 (10.657397377851 yrs)
Last Updated
Feb 4, 2022
License
40QA01649600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
212 AMBER BEACH ROAD
MARIETTA, NY, 13310
Browse NY providers · Browse ZIP 13310
Phone
3157299056
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MARIETTA, NY

Name Credential NPI
DR. CYNTHIA K WARNER DPT 1063759983
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.