Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2305206950 | VA |
N | 2251X0800X | Physical Therapist - Orthopedic | 2305206950 | VA |
NPI | 1033497722 |
---|---|
Provider Name | Katharine P Griffin |
First Address | Richmond, VA 23225 |
Second Address | Richmond, VA 23225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2011 |
Last Update Date | 29/10/2013 |