Individual
MR. TIMOTHY PATRICK GRIFFIN
Active
Individual
MR. TIMOTHY PATRICK GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
1430
ME
2251S0007X
Sports Physical Therapist
1430
ME
2251X0800X
Orthopedic Physical Therapist
Primary
1430
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000459401
MEDICARE PTAN
ME
Enumeration date
01/09/2008
Last updated
06/25/2015
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