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NPI Code Detail

MEDICARE: MRS. SHANNON MARIE GRIFFITHS OTR/L

MEDICARE: MRS. SHANNON MARIE GRIFFITHS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist07242MD
2225XH1200XHand Occupational Therapist0119009887VA
3225XH1200XHand Occupational TherapistOT210002108DC

General Provider Information

NPI Number : 1093109415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON MARIE GRIFFITHS OTR/L
Provider Business Mailing Address
First Line : 9417 FAIRVIEW AVE
Second Line :
City : LAUREL
State : MD
Zip : 20723-1711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 IRVING ST NW STE 5000
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2981
Country : US
Telephone Number : 202-877-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2015
Last Update Date : 11/19/2024

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