Individual
ERICKSON GASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
Mailing address
PO BOX 315571, TAMUNING, GU 96931-3471
(671) 787-0113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32
GU
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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