Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1192093 | TX |
NPI | 1194207274 |
---|---|
Provider Name | Piche Cheryl Gugler |
First Address | Garland, TX 75043-1147 |
Second Address | Dallas, TX 75231-3701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |