Individual
LENA MARIE GYOMORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
5876 GRACELAWN ST, NORTH BRANCH, MI 48461-9635
(810) 441-6519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001248
MI
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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