Individual
GRETCHEN VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 S DARGAN ST, FLORENCE, SC 29506-2561
(843) 673-2694
Mailing address
710 ASTER DR, FLORENCE, SC 29501-7573
(352) 727-8015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3126
SC
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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