Individual
MRS. SUSANNA GREGORZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1581
(401) 831-0500
Mailing address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1581
(401) 831-0500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1045424
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01152
RI LICENSE
RI
Enumeration date
01/02/2008
Last updated
06/06/2008
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