Provider Demographics
NPI:1063111581
Name:SINGSEN, GRETCHEN FREYE (OTR/L)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:FREYE
Last Name:SINGSEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MOSHIER ST FL 1
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-4312
Mailing Address - Country:US
Mailing Address - Phone:860-367-7417
Mailing Address - Fax:
Practice Address - Street 1:70 PARSONAGE RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-3996
Practice Address - Country:US
Practice Address - Phone:203-618-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4086225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist