Individual
ERICA LUISA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1777 BRIDGEPORT COLONY LN, FORT WALTON BEACH, FL 32547-5714
(626) 710-3213
Mailing address
1777 BRIDGEPORT COLONY LN, FORT WALTON BEACH, FL 32547-5714
(626) 710-3213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445078
NBCOT
—
01
—
OT24895
OT LICENSE
FL
Enumeration date
11/18/2020
Last updated
06/14/2024
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