Individual
MEGAN JULYNE DEJESA AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
224 FARENHOLT AVE, TAMUNING, GU 96913-3224
(671) 647-0110
Mailing address
PO BOX 2541, HAGATNA, GU 96932-2541
(671) 486-7484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214119
VA
225100000X
Physical Therapist
Primary
PT-159
GU
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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