Jaden Elizabeth Graham

Occupational Therapy Assistant · Bloomington, IL

Individual Active NPI

NPI number 1659008142

Practice location

601 Lutz Rd
Bloomington, IL 61704-8608
Phone
(309) 557-8000

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NPI record

NPI
1659008142
Entity type
Individual (Type 1)
Enumeration date
August 4, 2022
Last updated
August 4, 2022
Certified
August 4, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X — —

About Jaden Graham

Jaden Elizabeth Graham is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 601 Lutz Rd, Bloomington, IL 61704-8608. The NPI number 1659008142 was assigned on August 4, 2022 and the record was last updated on August 4, 2022.

Frequently asked questions

What is the NPI number of Jaden Elizabeth Graham?

The NPI number is 1659008142.

What is the phone number of Jaden Graham?

The phone number listed for the practice location is (309) 557-8000.

Where is Jaden Graham located?

601 Lutz Rd, Bloomington, IL 61704-8608.

What is the taxonomy code for Jaden Graham?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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