Individual
EZEKIEL J GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
8648 OLD SAVANNAH LN, MONTGOMERY, AL 36116-6610
(205) 249-1857
Mailing address
8648 OLD SAVANNAH LN, MONTGOMERY, AL 36116-6610
(205) 249-1857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3538
AL
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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