Provider Demographics
NPI:1811210461
Name:GRIFFIN THERAPY SERVICES LLC
Entity type:Organization
Organization Name:GRIFFIN THERAPY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:207-332-8082
Mailing Address - Street 1:95 HARDY ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3006
Mailing Address - Country:US
Mailing Address - Phone:207-332-8082
Mailing Address - Fax:207-760-9346
Practice Address - Street 1:36 NORTH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2273
Practice Address - Country:US
Practice Address - Phone:207-540-1090
Practice Address - Fax:207-760-9346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy