Organization
GUAM IN-HOME PHYSICAL THERAPY LLC
Active
Organization
GUAM IN-HOME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIWAYWAY JANSSEN (OWNER)
(671) 488-3130
Entity
Organization
Contact information
Practice address
210C RIVERA LANE #307, TUMOR, GU 96913
(671) 488-3130
Mailing address
1270 N. MARINE DRIVE PMB 435, TAMUNING, GU 96913
(671) 488-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037169
NY
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
03/05/2018
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