Individual
MRS. WILMA GUBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S P.T.
Contact information
Practice address
9 HAYWOOD AVE, RUTLAND, VT 05701-4832
(802) 747-6433
Mailing address
21 MANSFIELD PL, RUTLAND, VT 05701-4149
(802) 773-6698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003617
VT
225100000X
Physical Therapist
15440
FL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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