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Individual

MS. CAROL SUSAN GRIFFITH I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 816-7534
Mailing address
4701 HUNTINGTON DR NE, ALBUQUERQUE, NM 87111-3040
(505) 275-9174

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0922
NM

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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