Individual
JUNRIEL ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 645-5549
Mailing address
PO BOX 970277, WAIPAHU, HI 96797-0277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-128
GU
225100000X
Physical Therapist
PT-3932
HI
Other
Enumeration date
02/09/2015
Last updated
07/19/2018
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