Individual
CARRIE LEA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8031 W CENTER RD, SUITE 300, OMAHA, NE 68124-3158
(402) 391-5002
(402) 343-1278
Mailing address
8031 W CENTER RD, SUITE 300, OMAHA, NE 68124-3158
(402) 391-5002
(402) 343-1278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111657
TX
225XP0200X
Pediatric Occupational Therapist
Primary
001893
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001893
STATE LICENSURE
IA
01
—
111657
LICENSE
TX
Enumeration date
01/29/2007
Last updated
12/29/2010
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