Organization
NEWGEN AESTHETICS & WELLNESS, LLC
Active
Other names
NewGen Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD PATRICK CAMPOS DPT (CLINIC DIRECTOR)
(671) 735-8000
Entity
Organization
Contact information
Practice address
263 VIETNAM VETERANS MEMORIAL HWY, MANGILAO, GU 96913
(671) 486-5826
Mailing address
PO BOX 217954, BARRIGADA, GU 96921-6957
(671) 735-8000
(671) 735-8003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
07/30/2020
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