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NPI Code Detail

MEDICARE: GRETCHEN HAFNER

MEDICARE:   GRETCHEN  HAFNER
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
1225100000XPhysical Therapist8329SC

General Provider Information

NPI Number : 1649725235
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN HAFNER
Provider Business Mailing Address
First Line : 267 WILLBROOK BLVD
Second Line : SUITE D
City : PAWLEYS ISLAND
State : SC
Zip : 29585-8618
Country : US
Telephone Number : 843-651-6565
Fax Number :
Provider Business Practice Location Address
First Line : 267 WILLBROOK BLVD
Second Line : SUITE D
City : PAWLEYS ISLAND
State : SC
Zip : 29585-8618
Country : US
Telephone Number : 843-651-6565
Fax Number : 843-651-6575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 08/24/2016

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Directions to “ GRETCHEN HAFNER ” Practice Location

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