Individual
ANTWON JAMEL GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
1346 MANDY PLACE CT, CHARLOTTE, NC 28216-8789
(252) 945-7398
Mailing address
1346 MANDY PLACE CT, CHARLOTTE, NC 28216-8789
(252) 945-7398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12795
NC
225X00000X
Occupational Therapist
5686
SC
Other
Enumeration date
01/07/2010
Last updated
10/03/2019
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