Individual
MRS. MAUREEN KELLY GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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