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NPI Code Detail

MEDICARE: CECELIA ANN GRIFFITH PT, DPT

MEDICARE: CECELIA ANN GRIFFITH PT, DPT
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
1225100000XPhysical Therapist4945SC

General Provider Information

NPI Number : 1265510184
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECELIA ANN GRIFFITH PT, DPT
Provider Business Mailing Address
First Line : 240 LYTTLETON WAY
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1817
Country : US
Telephone Number : 864-225-3092
Fax Number :
Provider Business Practice Location Address
First Line : 430 ROPER MOUNTAIN RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4236
Country : US
Telephone Number : 864-297-5711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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