Individual
MRS. PENELOPE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1924 W MAIN ST, HENRYETTA, OK 74437-3849
(918) 652-0288
Mailing address
512 E ATLANTA ST, OKEMAH, OK 74859-3001
(918) 623-0761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1438
OK
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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