Gretchen Shore in Albuquerque - Occupational Therapist
Gretchen Shore - NPI 1548313604
Gretchen Shore is a Occupational Therapist in Albuquerque, New Mexico. Gretchen Shore practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Gretchen Shore is 1548313604. The last update date is 2007-07-09.
Gretchen Shore's current location address is 420 General Somervell St Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052990796. The mailing address for Gretchen Shore is 420 General Somervell St Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen Shore |
|---|---|
| Address | 420 General Somervell St Ne, Albuquerque, New Mexico |
| Phone Number | 5052990796 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1548313604 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 420 General Somervell St Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871231150 |
| Phone Number | 5052990796 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2077 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36584762 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gretchen Shore by the Centers for Medicare & Medicaid Services?
The Gretchen Shore has been assigned the NPI (National Provider Identifier) 1548313604. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gretchen Shore is located?
The Gretchen Shore is situated at the following address: 420 General Somervell St Ne, Albuquerque, NM, 871231150.
What is Gretchen Shore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gretchen Shore is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548313604 to Gretchen Shore?
The Gretchen Shore received its 1548313604 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Gretchen Shore most recently updated or revised?
The information pertaining to Gretchen Shore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.