Individual
KELLY MARIE GRIFFING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OT/L
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(919) 448-6018
Mailing address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(917) 734-1822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12449
NC
225XP0200X
Pediatric Occupational Therapist
Primary
12449
NC
252Y00000X
Early Intervention Provider Agency
014029-1
NY
Other
Enumeration date
05/18/2009
Last updated
08/10/2022
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