Individual
MS. CHARLOTTE ANN GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
(219) 663-3529
Mailing address
4507 WILLOW DR, LAKE STATION, IN 46405-1825
(219) 962-1704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001019A
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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