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MR. GIOVANNI COLEONGCO DU AY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
1615 FRANKLIN RD SW, ROANOKE, VA 24016-5208
(540) 224-4800
Mailing address
379 HIGHLAND AVE SW, APT. 203, ROANOKE, VA 24016-4321
(540) 492-1584

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1196790
TX
225100000X
Physical Therapist
Primary
2305207072
VA

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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