Gretchen Vidergar, OT

NPI #1487717690 in Mitchellville, Maryland

Provider Information

NPI Number: 1487717690
Entity Type: Individual
Name: Gretchen Vidergar, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12140 CENTRAL AVE
City: Mitchellville
State: Maryland
ZIP Code: 20721-1932
Phone: (301) 581-8054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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