Jonne Allen D Mallari, | |
809 Chalan Pasaheru Unit 2, Tamuning, GU 96913-4132 | |
(671) 647-5355 | |
(671) 647-5358 |
Full Name | Jonne Allen D Mallari |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 809 Chalan Pasaheru Unit 2, Tamuning, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699305656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-153 (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 |
Mailing Address | Practice Location Address |
---|---|
Jonne Allen D Mallari, Po Box 8838, Tamuning, GU 96931-8838 Ph: (671) 647-5355 | Jonne Allen D Mallari, 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913-4132 Ph: (671) 647-5355 |
Morgan Alexander, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Farenholt Ave, Tamuning, GU 96913 Phone: 671-647-0110 | |
Archaellus John Dela Vega Pamintuan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-647-5355 | |
Kathrina May A Pamintuan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-647-5358 | |
Gina Ridolfo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Pale San Vitores Rd, Apt 1003, Tamuning, GU 96913 Phone: 671-787-7513 | |
Erickson Gascon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5825 | |
Lorraine Michelle Torres Gozum, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5825 | |
Rieza Mari Reyes Sabido, Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-649-0404 |