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NPI Code Detail

MEDICARE: TAYLOR GRIFFIN OTR/L, OTD

MEDICARE: TAYLOR GRIFFIN OTR/L, OTD
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
1225XP0200XPediatric Occupational Therapist7220SC

General Provider Information

NPI Number : 1104779511
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR GRIFFIN OTR/L, OTD
Provider Business Mailing Address
First Line : 7005 SKIFF LN # 5108
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-4518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 289 HIGHWAY 90 E UNIT G
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566-9298
Country : US
Telephone Number : 843-734-0315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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