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Sports,orthopedics & Active Rehabilitation — NPI 1184020653, Tamuning, GU | NPI Central

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NPI 1184020653

OrganizationActive

Sports,orthopedics & Active Rehabilitation

NPI 1184020653 · Contractor · Tamuning, GU

Provider details

NPI number: 1184020653
Entity type: Organization
Primary specialty: ContractorOther Service Providers
Organization subpart: No
Authorized official: Julienne Duenas, Physical Therapist(671) 647-0110
License: PT-37 (GU)

Specialties & taxonomies

ContractorPrimary171W00000XLicense PT-37 (GU)
Other Service Providers

Practice location

224 Farenholt Avenue

Ur 1 Building

Tamuning, GU 96913

Phone: (671) 647-0110

More GU providers

Mailing address

224 Farenholt Avenue

Tamuning, GUAM 96913

Registry dates

Enumerated: 2014-11-11
Last updated: 2014-11-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.