Provider Demographics
NPI:1285209007
Name:GRAHAM THERAPY AND FITNESS, P.A.
Entity Type:Organization
Organization Name:GRAHAM THERAPY AND FITNESS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:NORTON
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:240-401-3252
Mailing Address - Street 1:4948 SAINT ELMO AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6066
Mailing Address - Country:US
Mailing Address - Phone:301-652-2161
Mailing Address - Fax:
Practice Address - Street 1:4948 SAINT ELMO AVE STE 206
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6066
Practice Address - Country:US
Practice Address - Phone:301-652-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy