MEDICARE: QUINN GRIFFIN 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
1	225100000X	Physical Therapist	0012839	CO

General Provider Information

NPI Number	:	1700295474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINN GRIFFIN DPT

Provider Business Mailing Address
First Line	:	6169 S BALSAM WAY STE 110
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-3000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6169 S BALSAM WAY STE 110
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-3000
Country	:	US
Telephone Number	:	303-948-1868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	08/07/2014

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Directions to “ QUINN GRIFFIN DPT” Practice Location

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