Individual
GRETCHEN RENEE MOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 MOSS HILL LN, APT F, SALISBURY, MD 21804-3981
(443) 366-2639
Mailing address
401 MOSS HILL LN, APT F, SALISBURY, MD 21804-3981
(443) 366-2639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01758
MD
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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