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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY GRACE RICIO PANCHO, RPT

Active Sole Proprietor

MARY GRACE RICIO PANCHO, RPT is a Physical Therapy Clinic healthcare provider located in MACON, Georgia. NPI 1003520156 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · MACON, GA

Registration Details

NPI Number
1003520156
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2023 (3.5444696750169 yrs)
Last Updated
Jan 12, 2023
License
PT013185 (GA)
Sole Proprietor
Yes

Practice Information

Address
350 HOSPITAL DR
MACON, GA, 312173838
Browse GA providers · Browse ZIP 31217
Phone
4787657000
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.