Individual
BRADLEY M GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010066
STATE OF MICHIGAN LICENSING
MI
Enumeration date
12/13/2017
Last updated
12/13/2017
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