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NPI Code Detail

MEDICARE: GRETCHEN ANNE WELCH O.T.

MEDICARE: GRETCHEN ANNE WELCH O.T.
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
1225XH1200XHand Occupational Therapist8199NY

General Provider Information

NPI Number : 1902880065
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN ANNE WELCH O.T.
Provider Business Mailing Address
First Line : 10 HAGEN DR
Second Line : SUITE 210
City : ROCHESTER
State : NY
Zip : 14625-2660
Country : US
Telephone Number : 585-641-0141
Fax Number : 585-641-0140
Provider Business Practice Location Address
First Line : 10 HAGEN DR
Second Line : SUITE 210
City : ROCHESTER
State : NY
Zip : 14625-2660
Country : US
Telephone Number : 585-641-0141
Fax Number : 585-641-0140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 07/08/2007

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