Individual
LORRAINE MICHELLE TORRES GOZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
Mailing address
PO BOX 26919, BARRIGADA, GU 96921-6919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3952
NH
225100000X
Physical Therapist
Primary
PT-165
GU
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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