Provider Demographics
NPI:1780721456
Name:GRIFFITH, REBECCA J
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:J
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 905
Mailing Address - Street 2:CERTIFIED HAND ASSOCIATES
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66051-0905
Mailing Address - Country:US
Mailing Address - Phone:913-780-4263
Mailing Address - Fax:913-780-2796
Practice Address - Street 1:20375 W 151ST
Practice Address - Street 2:SUITE 370 CERTIFIED HAND ASSOCIATES
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7218
Practice Address - Country:US
Practice Address - Phone:913-780-4263
Practice Address - Fax:913-780-2796
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
19948016OtherBLUE CROSS
37079900OtherUS DEPT OF LABOR
B767264Medicare ID - Type Unspecified