IndividualActive
Mary Ann Honculada
NPI 1104272731 · Physical Therapist · Tamuning, GU
Provider details
- NPI number
- 1104272731
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT-123 (GU)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Practice location
#155 E.t. Calvo Memorial Pkwy, Ste #102
Tamuning, GU 96913
Phone: (671) 477-3472
Fax: (671) 477-3473
Mailing address
275 Farenholt Ave., Suite G Pmb 90
Tamuning, GU 96913-3217
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.