Individual
GLENDA GUCOR-VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
22344 WOODLAKE DR, MACOMB, MI 48044-3053
(810) 814-0062
(586) 598-4951
Mailing address
22344 WOODLAKE DR, MACOMB, MI 48044-3053
(810) 814-0062
(586) 598-4951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005551
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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