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NPI Code Detail

MEDICARE: MISS JEANETTE A GRETKA OTRL

MEDICARE: MISS JEANETTE A GRETKA OTRL
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
1225X00000XOccupational Therapist005189-1NY

General Provider Information

NPI Number : 1750420204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JEANETTE A GRETKA OTRL
Provider Business Mailing Address
First Line : 3767 DELAWARE AVE
Second Line :
City : KENMORE
State : NY
Zip : 14217-1040
Country : US
Telephone Number : 716-874-6175
Fax Number :
Provider Business Practice Location Address
First Line : 3767 DELAWARE AVE
Second Line :
City : KENMORE
State : NY
Zip : 14217-1040
Country : US
Telephone Number : 716-874-6175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 10/08/2025

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Directions to “ MISS JEANETTE A GRETKA OTRL” Practice Location

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