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Individual

MRS. LISA ANN GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
11350 WOODSTOCK RD, ROSWELL, GA 30075-7541
(404) 374-5126
Mailing address
5110 DEERLAKE DR, ALPHARETTA, GA 30005-3600
(404) 374-5126

Taxonomy

Speciality
Code
Description
License number
State
224ZL0004X
Low Vision Occupational Therapy Assistant
Primary
OTA1126680
GA

Other

Enumeration date
12/02/2012
Last updated
12/02/2012
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