Provider Demographics
NPI:1144227497
Name:GRIFFITHS, GAIL B (PT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:B
Last Name:GRIFFITHS
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 1:4230 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2922
Mailing Address - Country:US
Mailing Address - Phone:513-569-6599
Mailing Address - Fax:
Practice Address - Street 1:3348 WESTBOURNE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-5133
Practice Address - Country:US
Practice Address - Phone:513-922-2204
Practice Address - Fax:513-922-2009
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2535831Medicaid
OH2535831Medicaid