MEDICARE: GRETCHEN L SCHRAMM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	7469	MA

General Provider Information

NPI Number	:	1033354238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN L SCHRAMM

Provider Business Mailing Address
First Line	:	83 BROAD ST
Second Line	:
City	:	PLAINVILLE
State	:	MA
Zip	:	02762-1952
Country	:	US
Telephone Number	:	508-643-4579
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 DEDHAM ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1135
Country	:	US
Telephone Number	:	508-384-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	12/03/2008

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Directions to “ GRETCHEN L SCHRAMM ” Practice Location

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