Graham, Carrie Odetta
Graham, Carrie Odetta is an individual health care provider with primary practice located at University Of Connecticut - Kinesiology 2095 Hillside Road , Unit 1110, Storrs CT 06269-1110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Graham, Carrie Odetta can be contacted via phone (860) 486-1118.Contact Information
Primary practice address
University Of Connecticut - Kinesiology 2095 Hillside Road , Unit 1110
Storrs CT 06269-1110
Phone: (860) 486-1118
Fax: (860) 486-1123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Connecticut |
Profile Details
| NPI number | 1972533255 |
|---|---|
| LBN Legal business name | Graham, Carrie Odetta |
| Credentials | MA.ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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