Provider Demographics
NPI:1568683357
Name:GRIFFIN, VERLINDA W
Entity Type:Individual
Prefix:
First Name:VERLINDA
Middle Name:W
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VERLINDA
Other - Middle Name:W
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05254
Mailing Address - Country:US
Mailing Address - Phone:802-362-5106
Mailing Address - Fax:
Practice Address - Street 1:5468 MAIN ST
Practice Address - Street 2:MANCHESTER HEALTH SERVICES INC
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255
Practice Address - Country:US
Practice Address - Phone:802-362-2126
Practice Address - Fax:802-362-4884
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040 0000753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY43326OtherMVP