Provider Demographics
NPI:1619238979
Name:STOKES, GRETCHEN J
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:J
Last Name:STOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RUMFORD DR
Mailing Address - Street 2:UNIT 203
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4080
Mailing Address - Country:US
Mailing Address - Phone:901-371-1114
Mailing Address - Fax:
Practice Address - Street 1:1111 E COLD SPRING LN
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-3932
Practice Address - Country:US
Practice Address - Phone:410-323-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05843225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist