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Organization

MCG THERAPY GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRETCHEN GOTAY CORDERA (PRESIDENT)
(787) 397-5712
Entity
Organization

Contact information

Practice address
200 CALLE CUPEY GDNS, SAN JUAN, PR 00926-7341
(787) 397-5712
Mailing address
200 CALLE CUPEY GDNS STE 6W, SAN JUAN, PR 00926-7373
(787) 397-5712

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207ZC0006X
Clinical Pathology Physician
Primary
225X00000X
Occupational Therapist
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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