Healthcare Provider Details

I. General information

NPI: 1881519585
Provider Name (Legal Business Name): ANNIE GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HUGHES RD STE 2
MADISON AL
35758-1144
US

IV. Provider business mailing address

401 HUGHES RD STE 2
MADISON AL
35758-1144
US

V. Phone/Fax

Practice location:
  • Phone: 256-285-4352
  • Fax: 256-963-9347
Mailing address:
  • Phone: 256-285-4352
  • Fax: 256-963-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7057
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: