Provider Demographics
NPI:1508113069
Name:GUCOR, LEILA BELEN JAVIER (PT)
Entity Type:Individual
Prefix:
First Name:LEILA BELEN
Middle Name:JAVIER
Last Name:GUCOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LEILA BELEN
Other - Middle Name:EDIZA
Other - Last Name:JAVIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:692 KYLE RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-6446
Mailing Address - Country:US
Mailing Address - Phone:717-825-3693
Mailing Address - Fax:
Practice Address - Street 1:44 N. VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-0000
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022332225100000X
CT009510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist