Provider Demographics
NPI:1871135517
Name:BRESLAWSKI, GRETCHEN (DPT)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:
Last Name:BRESLAWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 DELAFIELD RD APT 4
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3232
Mailing Address - Country:US
Mailing Address - Phone:585-943-7361
Mailing Address - Fax:
Practice Address - Street 1:666 ALLEGHENY RIVER BLVD STE B
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1535
Practice Address - Country:US
Practice Address - Phone:412-265-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist