Mary Grace Guevarra, P.T.
Physical Therapist in Burbank, CA. Individual provider (NPI-1).
NPI number1386776144
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1386776144
- Entity type
- Individual (NPI-1)
- Name
- Mary Grace Guevarra
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 32582 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 32582 | CA |
Practice location
2211 W Magnolia Blvd Ste 160Burbank, CA 91506-1757
Phone 818-876-4195 · Fax 818-729-0410
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Other practice locations
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Pasadena, CA 91105-2621
Phone 626-403-6200
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