Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 5168 | MN |
NPI | 1033134051 |
---|---|
Provider Name | Dr. Lynda Lee Griffith |
First Address | Grand Rapids, MN 55744-4210 |
Second Address | Grand Rapids, MN 55744-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 09/07/2007 |