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1487717690
GRETCHEN VIDERGAR
MITCHELLVILLE, MD
NPI
1487717690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 03340)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- GRETCHEN VIDERGAR OT
12140 CENTRAL AVE
MITCHELLVILLE, MD 20721-1932
Phone number: 301-581-8054
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Mailing Address
-- GRETCHEN VIDERGAR OT
6410 ROCKLEDGE DR NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817-1809
Phone number: 301-581-8054
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