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NPI Code Detail

MEDICARE: AMY GRIFFING

MEDICARE: AMY GRIFFING
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 Therapist1377MA

General Provider Information

NPI Number : 1154446748
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY GRIFFING
Provider Business Mailing Address
First Line : 129 COPPERWOOD DR
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-1417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 BROAD ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-2336
Country : US
Telephone Number : 781-337-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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