Individual
MALLORY GUNTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
493 COUNTY ROAD 415, NEW SMYRNA BEACH, FL 32168-8908
(386) 235-2419
Mailing address
493 COUNTY ROAD 415, NEW SMYRNA BEACH, FL 32168-8908
(386) 235-2419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26843
FL
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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