Individual
MRS. GRETCHEN B. WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.O.T., O.T.R./L
Contact information
Practice address
68 NEW MILL RD, SMITHTOWN, NY 11787-3350
(631) 366-0628
Mailing address
68 NEW MILL RD, SMITHTOWN, NY 11787-3350
(631) 366-0628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002052
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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