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Individual

MRS. TAKEINYA GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2022 FARFLUNG DR, FLORISSANT, MO 63031-2812
(314) 518-8249
Mailing address
2022 FARFLUNG DR, FLORISSANT, MO 63031-2812
(314) 518-8249

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012030789
MO

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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