Jonne Allen D Mallari
Individual provider Active NPI Physical Therapist · Tamuning, GU
NPI 1699305656 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1699305656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-153 (GU)
- Practice address
- 809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132 - Phone
- (671) 647-5355
- Fax
- (671) 647-5358
- NPI assigned
- Jan 17, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-153 | GU | Yes |
Addresses
Primary practice location
809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132
Mailing address
PO Box 8838
Tamuning, GU 96931-8838
Phone (671) 647-5355
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 Jan 17, 2020. 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.