Individual
RYAN GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
779 W SPROUL RD, SPRINGFIELD, PA 19064-1215
(484) 470-2150
Mailing address
382 DUPONT PL, PHILADELPHIA, PA 19128-4707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005862
PA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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