Provider Demographics
NPI:1427369149
Name:GRIFFITH, SALVACION GALVAN (PT)
Entity Type:Individual
Prefix:
First Name:SALVACION
Middle Name:GALVAN
Last Name:GRIFFITH
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 1:1020 NUT TREE RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-4100
Mailing Address - Country:US
Mailing Address - Phone:707-624-8290
Mailing Address - Fax:707-624-8291
Practice Address - Street 1:1020 NUT TREE RD
Practice Address - Street 2:SUITE 260
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-4100
Practice Address - Country:US
Practice Address - Phone:707-624-8290
Practice Address - Fax:707-624-8291
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10505-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist