Individual
MR. ROLAN SEGOVIA GOLEZ
Active
Individual
MR. ROLAN SEGOVIA GOLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-105
GU
225100000X
Physical Therapist
PT-3401
HI
225100000X
Physical Therapist
PT-90
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669744983
—
GU
01
—
H112215
MEDICARE PTAN
GU
Enumeration date
02/01/2012
Last updated
04/25/2023
Update your record
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