Newgen Physical Therapy | |
263 Vietnam Veterans Memorial Hwy, Mangilao, GU 96913 | |
(671) 486-5826 | |
Not Available |
Full Name | Newgen Physical Therapy |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 263 Vietnam Veterans Memorial Hwy, Mangilao, Guam |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467908673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Keith Ming Chan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376781799 PECOS PAC ID: 8224286299 Enrollment ID: I20160420000562 |
Provider Name | Leonard P Campos |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407127871 PECOS PAC ID: 0244488831 Enrollment ID: I20200617003153 |
Provider Name | Sophia Brett Hansen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134717663 PECOS PAC ID: 0749689800 Enrollment ID: I20211222002408 |
Provider Name | Andrew Farrell Wiseman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184140097 PECOS PAC ID: 7113292285 Enrollment ID: I20220830000830 |
Provider Name | Geneva Lyn Lei |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013628197 PECOS PAC ID: 9234500281 Enrollment ID: I20230130001991 |
Mailing Address | Practice Location Address |
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Newgen Physical Therapy Po Box 217954, Barrigada, GU 96921-6957 Ph: (671) 735-8000 | Newgen Physical Therapy 263 Vietnam Veterans Memorial Hwy, Mangilao, GU 96913 Ph: (671) 486-5826 |