IndividualActive
Russel Gozar, RPTA
NPI 1205659794 · Physical Therapy Assistant · Saipan, MP
Provider details
- NPI number
- 1205659794
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 06006827A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Marianas Health Building LLC Suite 102
Ghiyeghi St. San Jose
Saipan, MP 96950-8903
Phone: (670) 233-4646
Fax: (670) 233-4648
Mailing address
Pob 10003 Pmb 1341
Saipan, MP 96950
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.