Jerome Gerongco Canama, PT
Physical Therapist in Mexico, MO. Individual provider (NPI-1).
NPI number1992983142
StatusActive
Last updated in NPPESFeb 8, 2008
Details
- NPI
- 1992983142
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerome Gerongco Canama
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2008
- Last updated
- Feb 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2005040393 | MO | Yes |
Practice location
407 Yale StMexico, MO 65265-2340
Phone 925-285-4422
Mailing address
407 Yale StMexico, MO 65265-2340
Phone 925-285-4422
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Other Physical Therapist providers in Mexico, MO
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