-- MA FARAH DIVA LIBO ON CUNANAN -- PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1598889982- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 120 NORTH HASMIN COURT, DEDEDO, GU, 96929
- Phone
- (671) 858-5758
Specialties & Taxonomies
Contractor
License: NY #027838
Physical Therapist
Primary License: GU #PT83