Individual
MARY JO GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 7TH ST S, LA CROSSE, WI 54601-5249
(608) 775-8251
Mailing address
E6142 KELLICUT RD, WESTBY, WI 54667-7365
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
31-027
WI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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