Individual
CHRISTOPHER STEPHEN GANGAN IBAROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 504816, SAIPAN, MP 96950-4309
(670) 323-6780
Mailing address
PO BOX 504816, SAIPAN, MP 96950-4309
(670) 323-6780
(670) 323-8741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0065
MP
225100000X
Physical Therapist
040180
NY
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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