Individual provider · Type 1 NPI
Penny L. Graham
Developmental Therapist · Dover, FL
Practice location
2109 Herndon St
Dover, FL 33527-6349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1730268129
Penny L. Graham's National Provider Identifier is 1730268129, issued on Nov 4, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Dover, FL. The record was last updated on Jul 8, 2007.