Geneva Lyn Sevilleno Lei, | |
133 Route 3, Dededo, GU 96929-6911 | |
(671) 645-5500 | |
Not Available |
Full Name | Geneva Lyn Sevilleno Lei |
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Gender | Female |
Speciality | Physical Therapist |
Location | 133 Route 3, Dededo, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013628197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-170 (Guam) | Primary |
Provider Name | Guam Healthcare Development Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Provider Name | Newgen Aesthetics & Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467908673 PECOS PAC ID: 6901237098 Enrollment ID: O20200505000634 |
Mailing Address | Practice Location Address |
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Geneva Lyn Sevilleno Lei, Unit 100104 Box 2000, Fpo, AP 96667-0420 Ph: (671) 482-8438 | Geneva Lyn Sevilleno Lei, 133 Route 3, Dededo, GU 96929-6911 Ph: (671) 645-5500 |
Dr. Richard Paul J. Pajela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-645-5619 | |
Ms. Ana Taitano Cruz, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-969-4843 | |
Jeno Aquino, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Ms. Marina Ng, Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Jinyoung Kim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-969-4840 | |
Junriel Roa, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-645-5549 |