| Ms Therese R Graham, MS OTRL | |
|
55 Virginia Dr, Dover, AR 72837-8999 | |
| (479) 264-6202 | |
| Not Available |
| Full Name | Ms Therese R Graham |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 55 Virginia Dr, Dover, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275741530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR1790 (Arkansas) | Primary |
| Provider Name | Synergy Care Southeast Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20230925002498 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Therese R Graham, MS OTRL 55 Virginia Dr, Dover, AR 72837-8999 Ph: (479) 264-6202 | Ms Therese R Graham, MS OTRL 55 Virginia Dr, Dover, AR 72837-8999 Ph: (479) 264-6202 |
Trilogy Physical Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8952 Market St, Suite 7, Dover, AR 72837 Phone: 501-860-3500 | |
Johnston Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 671 Beaumont Beach Rd, Dover, AR 72837 Phone: 479-858-2943 | |
Arkansas Occupational Therapy Services, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Virginia Dr, Dover, AR 72837 Phone: 479-264-6202 |