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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRETCHEN SHORE, OT

Active Sole Proprietor

GRETCHEN SHORE, OT is a Occupational Therapist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1548313604 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ALBUQUERQUE, NM

Registration Details

NPI Number
1548313604
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2007 (19.573544465263 yrs)
Last Updated
Jul 9, 2007
License
2077 (NM)
Sole Proprietor
Yes

Practice Information

Address
420 GENERAL SOMERVELL ST NE
HAWTHORNE ES
ALBUQUERQUE, NM, 871231150
Browse NM providers · Browse ZIP 87123
Phone
5052990796
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in ALBUQUERQUE, NM

Name Credential NPI
JANINE OSCHNER OTRL 1205838976
MR. BRANT A BERMUDEZ OTR/L,CHT 1649268988
JUDY BETH DEINEMA OTRL 1124094347
MR. JOHN MARK DONOVAN M.O.T. 1124081591
TAMMI M WILHAM OT 1861429441
DANNIELLE SUZETTE REISNER 1245260462
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.