Individual
LORI ALICE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
200 THOMPSON DR, TROY, MO 63379-2308
(636) 528-0491
Mailing address
752 COBBLEFIELD CT, WENTZVILLE, MO 63385-3484
(573) 795-7260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115374
LICENSE
MO
Enumeration date
04/13/2007
Last updated
04/09/2010
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