Provider Demographics
NPI:1013126820
Name:GRIFFITH, VINCENT (MPT)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 MONTROSE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3353
Mailing Address - Country:US
Mailing Address - Phone:301-588-7888
Mailing Address - Fax:301-587-5002
Practice Address - Street 1:7811 MONTROSE RD STE 340
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3363
Practice Address - Country:US
Practice Address - Phone:301-588-7888
Practice Address - Fax:301-587-5002
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC870383225100000X
MD20726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist