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NPI Code Detail

MEDICARE: MRS. JACALYN ANN GRIFFIN OTR/L

MEDICARE:  MRS. JACALYN ANN GRIFFIN  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 TherapistOT13765FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780661959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACALYN ANN GRIFFIN OTR/L
Provider Business Mailing Address
First Line : 931 MALL RING RD
Second Line :
City : SEBRING
State : FL
Zip : 33870-8515
Country : US
Telephone Number : 580-512-9881
Fax Number :
Provider Business Practice Location Address
First Line : 596 US HIGHWAY 27 N
Second Line :
City : AVON PARK
State : FL
Zip : 33825-2958
Country : US
Telephone Number : 863-314-8555
Fax Number : 863-453-4922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 12/18/2019

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Directions to “ MRS. JACALYN ANN GRIFFIN OTR/L” Practice Location

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