Ricki Donnell Graham
Physical Therapist - Pediatrics
6301 Gaston Ave Ste 750
Dallas
, Texas 75214-6339
Ricki Donnell Graham
Physical Therapist - Pediatrics
6301 Gaston Ave Ste 750
Dallas
, Texas 75214-6339
(469) 595-3828
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Ricki Donnell Graham
- 11116 Bradley Cir
- Forney, TX
- Zip : 75126-7725
- Phone : (469) 595-3828
Second Address
- Ricki Donnell Graham
- 6301 Gaston Ave Ste 750
- Dallas, TX
- Zip : 75214-6339
- Fax : (214) 245-5217
- Phone : (214) 295-5374
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 1088854 | TX |
National Provider Identifier
| NPI | 1043841810 |
|---|---|
| Provider Name | Ricki Donnell Graham |
| First Address | Forney, TX 75126-7725 |
| Second Address | Dallas, TX 75214-6339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2020 |
| Last Update Date | 30/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.