Individual ProviderKatie Marie GrahamPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-6812PECOS EnrollmentBased on the most recent information from CMS, provider Katie Marie Graham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1881427920Provider TypeIndividualFull NameGraham, Katie MarieTitleDr.CredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date8/23/2024Last Updated8/23/2024Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812FaxUnlisted FaxMailing LocationMailing Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-6812FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense41600Florida