NPI Code Details Logo

NPI 1780075960

NPI 1780075960 : HANNAH ROLLINS GRIFFIN MS : TEQUESTA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780075960
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HANNAH ROLLINS GRIFFIN MS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/10/2015
-----------------------------------------------------
    Last Update Date     |    02/28/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    169 TEQUESTA DR SUITE 24E
-----------------------------------------------------
    City                 |    TEQUESTA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33469-2768
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-747-8188
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6406 LAUDERDALE ST 
-----------------------------------------------------
    City                 |    JUPITER
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33458-6409
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-969-1736
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225XP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Occupational Therapist
-----------------------------------------------------
    License Number       |    OT16793
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    222Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Developmental Therapist
-----------------------------------------------------
    License Number       |    16793
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.