Provider Demographics
NPI:1588914832
Name:GRIFFIN, ADRINNE RUTH (PT)
Entity type:Individual
Prefix:MRS
First Name:ADRINNE
Middle Name:RUTH
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 HARDY ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3006
Mailing Address - Country:US
Mailing Address - Phone:207-760-9368
Mailing Address - Fax:207-760-9346
Practice Address - Street 1:36 NORTH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2273
Practice Address - Country:US
Practice Address - Phone:207-540-1090
Practice Address - Fax:207-760-9346
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2895225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist