Individual
MS. GRETCHEN A VANDEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3615 S ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-4408
(770) 879-0817
Mailing address
3615 S ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-4408
(770) 879-0817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00016
GA
Other
Enumeration date
03/30/2007
Last updated
08/09/2012
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