Individual
MRS. VICTORIA A. GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079FY
BLUE CROSS
NC
05
—
7201065
—
NC
Enumeration date
03/05/2007
Last updated
03/17/2018
Update your record
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