Individual
GWYNETH CAROLINE MAGNO SUICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20 GALA DR STE G-104, ASHEVILLE, NC 28803-8209
(828) 484-4200
(828) 585-6659
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23486
NC
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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