Individual
KELLY MICHELLE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
11808 GRANT ST FL 100, OMAHA, NE 68164-3616
(877) 230-3885
Mailing address
200 TOURS ST, LAFAYETTE, LA 70506-5231
(337) 224-3075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301966
LA
225X00000X
Occupational Therapist
5031
SC
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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