Individual
MRS. GRETCHEN LYNN BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L MBS CHT
Contact information
Practice address
690 N COFCO CENTER CT, SUITE 270, PHOENIX, AZ 85008-6462
(602) 393-1010
(602) 393-1011
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 385-2115
(480) 422-6551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497702
—
AZ
01
—
P00404837
RAILROAD MEDICARE PTAN
AZ
Enumeration date
05/19/2006
Last updated
10/25/2016
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