Guevarra, Mary Grace

Guevarra, Mary Grace is an individual health care provider with primary practice located at 2211 W Magnolia Blvd Ste 160 , Burbank CA 91506-1757. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Guevarra, Mary Grace can be contacted via phone (818) 876-4195.

Contact Information

Primary practice address
2211 W Magnolia Blvd Ste 160 Burbank CA 91506-1757
Phone: (818) 876-4195
Fax: (818) 729-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 32582 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 32582 California

Profile Details

NPI number 1386776144
LBN Legal business name Guevarra, Mary Grace
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386776144 NPPES
California Other 32582 CA LICENSE

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