Provider Demographics
NPI:1821218009
Name:MEIER, GRETCHEN (PT)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:
Last Name:MEIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 CENTER STREET
Mailing Address - Street 2:PO BOX 626
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566
Mailing Address - Country:US
Mailing Address - Phone:845-744-8801
Mailing Address - Fax:845-744-5526
Practice Address - Street 1:155 CENTER STREET
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566
Practice Address - Country:US
Practice Address - Phone:845-744-8801
Practice Address - Fax:845-744-5526
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012823-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist