Provider Demographics
NPI:1548455173
Name:GRIFFITH, DEBRA LYNN (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:LYNN
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3639 HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-9350
Mailing Address - Country:US
Mailing Address - Phone:717-799-6166
Mailing Address - Fax:
Practice Address - Street 1:3639 HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-9350
Practice Address - Country:US
Practice Address - Phone:717-799-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist