Most Relevant Information
Provider Data
| NPI Number: | 1003261850 |
| Provider Name: | GRETCHAN ROSE |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OC007451L |
Most Important Dates
| Enumeration Date: | 04/29/2016 |
| Last Updated: | 04/29/2016 |
Provider Practice Location
700 CAYUGA AVE
ALTOONA
PA
166024303
Practice Location Phone/Fax
| Phone: | 8149460471 |
| Fax: | 8149444792 |
Provider Mailing Location
700 CAYUGA AVE
ALTOONA
PA
166024303
Provider Mailing Phone/Fax
| Phone: | 8149460471 |
| Fax: | 8149444792 |