NPI 1104333731

Erickson Gascon, PT

Practitioner Physical Therapist Tamuning, GU

Practice location

Address: 548 S Marine Corps Dr, Tamuning, GU 96913-3539
Phone: (671) 646-5825
Mailing address: PO Box 315571, Tamuning, GU 96931-3471

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 32 (GU)

Other Physical Therapist providers in Guam →

Registry record

NPI: 1104333731
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2018
Record last updated: 4 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.