Provider Demographics
NPI:1801818158
Name:GUGLIETTI, PAMELA LYNNE (ATC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:LYNNE
Last Name:GUGLIETTI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:136 HHP BUILDING
Mailing Address - Street 2:UNCG ATHLETICS
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27412
Mailing Address - Country:US
Mailing Address - Phone:336-334-3700
Mailing Address - Fax:
Practice Address - Street 1:136 HHP BUILDING
Practice Address - Street 2:UNCG ATHLETICS
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27412
Practice Address - Country:US
Practice Address - Phone:336-334-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer