Individual
ELLEN LOUISE GESENHUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3644
(671) 735-8000
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-10
GU
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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