Individual
LAURA G GRIFFIN
Active
Individual
LAURA G GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8489460
—
WA
01
—
GR5117
BLUE SHIELD #
WA
Enumeration date
08/30/2006
Last updated
04/10/2008
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