Healthcare Provider Details

I. General information

NPI: 1710122494
Provider Name (Legal Business Name): BRIDGET GREIFF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIDGET TOUNEY OTR/L

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4531 INTELCO LOOP SE STE 3
LACEY WA
98503-5941
US

IV. Provider business mailing address

4820 YELM HWY SE STE B
LACEY WA
98503-4904
US

V. Phone/Fax

Practice location:
  • Phone: 360-786-1753
  • Fax: 360-786-1793
Mailing address:
  • Phone: 360-786-1753
  • Fax: 360-786-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT00003582
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: