Individual
MRS. MAUREEN KELLY GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-8847
(410) 337-5189
Mailing address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-8847
(410) 337-5189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16665
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023348001
—
MD
01
—
16665
PT LICENSE
MD
01
—
382617193
CIGNA
MD
01
—
812314
EHP
MD
Enumeration date
03/01/2007
Last updated
01/18/2019
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