Provider Demographics
NPI:1174889281
Name:GRIFFIN, CHRISTINE MARY (PT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARY
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 6TH ST.
Mailing Address - Street 2:THE EARTH SCHOOL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6851
Mailing Address - Country:US
Mailing Address - Phone:347-735-3284
Mailing Address - Fax:
Practice Address - Street 1:600 E 6TH ST
Practice Address - Street 2:THE EARTH SCHOOL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6851
Practice Address - Country:US
Practice Address - Phone:347-735-3284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist