Individual
MS. SUSAN JILL GRETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
505 MAYFIELD AVE, WEST CHESTER, PA 19380-5211
(610) 701-4258
Mailing address
505 MAYFIELD AVE, WEST CHESTER, PA 19380-5211
(610) 701-4258
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC004509L
PA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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