Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00146500 | NJ |
NPI | 1215354931 |
---|---|
Provider Name | Ms. Gretchen E March |
First Address | Warwick, NY 10990-2419 |
Second Address | Saddle Brook, NJ 07663-5309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2014 |
Last Update Date | 19/03/2014 |