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Individual

JESSICA TIFFANY GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19000 HALSTED ST, HOMEWOOD, IL 60430-4204
(708) 957-7152
Mailing address
7139 LAVERNE LN APT 1W, TINLEY PARK, IL 60477-4972
(708) 321-0160

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009145
IL

Other

Enumeration date
01/07/2022
Last updated
01/07/2022
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