Individual
GLADYS BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3663 E PAGE AVE, GILBERT, AZ 85234-4302
(480) 694-5177
Mailing address
3663 E PAGE AVE, GILBERT, AZ 85234-4302
(480) 694-5177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1359PT
AZ
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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