Individual
CHRISTIAN KYLE GERARDO DECAMPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
PO BOX 504816, SAIPAN, MP 96950-4309
(670) 323-6877
Mailing address
PO BOX 503361, SAIPAN, MP 96950-3361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0066
MP
225100000X
Physical Therapist
011212
CT
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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