Individual
NICHOLE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 343-3484
Mailing address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 343-3484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001516
VA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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