Individual
MRS. AUTUMN DAWN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4612
(229) 271-4616
Mailing address
307 E 3RD AVE, CORDELE, GA 31015
(229) 271-4612
(229) 271-4616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004054
OT
GA
Enumeration date
08/09/2007
Last updated
08/09/2007
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