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Organization
MCG THERAPY GROUP, LLC
Active
Organization
MCG THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN GOTAY CORDERA (PRESIDENT)
(787) 397-5712
Entity
Organization
Contact information
Practice address
200 CALLE CUPEY GDNS, SAN JUAN, PR 00926-7341
(787) 397-5712
Mailing address
200 CALLE CUPEY GDNS STE 6W, SAN JUAN, PR 00926-7373
(787) 397-5712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207ZC0006X
Clinical Pathology Physician
Primary
—
NULL
207ZC0006X
Clinical Pathology Physician
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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