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Individual

MARILYN M GUGLIOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0242
Mailing address
17787 SANDS RD, HAMILTON, VA 20158-3437

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1482
WV
225200000X
Physical Therapy Assistant
Primary
2306000706
VA

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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