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NPI Code Detail

MEDICARE: GRETCHEN M. GROVES OTR/L

MEDICARE:   GRETCHEN M. GROVES  OTR/L
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 TherapistOT011835OH

General Provider Information

NPI Number : 1881353894
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN M. GROVES OTR/L
Provider Business Mailing Address
First Line : 2051 NORTH CT
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-6718
Country : US
Telephone Number : 330-312-0386
Fax Number :
Provider Business Practice Location Address
First Line : 2051 NORTH CT
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-6718
Country : US
Telephone Number : 330-312-0386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2021
Last Update Date : 12/17/2021

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Directions to “ GRETCHEN M. GROVES OTR/L” Practice Location

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