Sports, Orthopedics & Active Rehabilitation, Inc.
Organization Active NPI Physical Therapist · Tamuning, GU
NPI 1356550883 · NPPES record last updated Oct 24, 2010
Key facts
- NPI
- 1356550883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- GUAMPT016 (GU)
- Legal business name
- SPORTS, ORTHOPEDICS & ACTIVE REHABILITATION, INC.
- Practice address
- 224 Farenholt Ave
Ur 1 Building
Tamuning, GU 96913-3224 - Phone
- (671) 647-0110
- Fax
- (671) 647-0112
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Julienne R Duenas, PT, DPT
- Title
- President
- Phone
- (671) 647-0110
Corporate family (same tax ID) 1
Practitioners 2
-
Amanda Perez, PTA
National Provider Directory
- Tax ID family
- Soar Physical Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | GUAMPT016 | GU | Yes |
Addresses
Primary practice location
224 Farenholt Ave
Ur 1 Building
Tamuning, GU 96913-3224
Mailing address
224 Farenholt Ave
Ur 1 Building
Tamuning, GU 96913-3224
Phone (671) 647-0110
Other names
- SOAR Physical Therapy
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.