Basic Information
Provider Information
NPI: 1871740761
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAHAM
FirstName: MEGHAN
MiddleName: ALBRIGHT
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALBRIGHT
OtherFirstName: MEGHAN
OtherMiddleName: CHRISTINE
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4214 N. ROXBORO STREET
Address2: SUITE 100
City: DURHAM
State: NC
PostalCode: 277042122
CountryCode: US
TelephoneNumber: 9194799001
FaxNumber: 9194799003
Practice Location
Address1: 4214 N. ROXBORO STREET
Address2: SUITE 100
City: DURHAM
State: NC
PostalCode: 277042122
CountryCode: US
TelephoneNumber: 9194799001
FaxNumber: 9194799003
Other Information
ProviderEnumerationDate: 08/21/2008
LastUpdateDate: 01/28/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X11699NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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