Individual
GRETCHAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CAYUGA AVE, ALTOONA, PA 16602-4303
(814) 946-0471
(814) 944-4792
Mailing address
700 CAYUGA AVE, ALTOONA, PA 16602-4303
(814) 946-0471
(814) 944-4792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007451L
PA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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