| NPI | 1497094684 | 
|---|---|
| Former Name | AVERY K GRIFFIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011915A)  | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| Enumeration Date | 2013-02-07 | 
| Last Update Date | 2024-08-21 |