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Individual

AMY M GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS., PT.

Contact information

Practice address
1623 GOODYEAR AVE, UNIT D, VENTURA, CA 93003-5804
(805) 339-9718
(805) 339-9728
Mailing address
1623 GOODYEAR AVE, UNIT D, VENTURA, CA 93003-5804
(805) 339-9718
(805) 339-9728

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
27784
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
714483
UNITED HEALTHCARE
CA
01
ZZZ62926Z
BS OF CA
CA
Enumeration date
08/21/2006
Last updated
01/22/2010
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