National Provider Identifier
Gretchen Marie Dietzen, OTR/L, CKTP
Gretchen Marie Dietzen, OTR/L, CKTP is listed in the NPPES registry with a primary specialty of Occupational Therapist in Williamsville, NY and a listed phone number of (716) 580-3976.
Profile Overview
- NPI
- 1770891871
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 23, 2010
- Last Updated
- September 23, 2010
Practice Location
- 5544 Main St
- 2Nd Floor
- Williamsville, NY 14221-5406
Phone: (716) 580-3976
Mailing Address
- 9875 New Oregon RD
- Eden, NY 14057-9710
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1770891871
- Entity Type
- Individual
- Last Name
- Dietzen
- First Name
- Gretchen
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- OTR/L, CKTP
- Mailing Street Address
- 9875 New Oregon RD
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-9710
- Mailing Country
- US
- Mailing Phone
- (716) 992-4753
- Practice Street Address
- 5544 Main St
- Practice Address Line 2
- 2Nd Floor
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5406
- Practice Country
- US
- Practice Phone
- (716) 580-3976
- Practice Fax
- (716) 580-3978
- Enumeration Date
- September 23, 2010
- Last Updated
- September 23, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)