Joemar R Gongon

NPI #1033401823 in Greenwood, Mississippi

Provider Information

NPI Number: 1033401823
Entity Type: Individual
Name: Joemar R Gongon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 902 SGT JOHN A PITTMAN DR
City: Greenwood
State: Mississippi
ZIP Code: 38930-7343
Phone: (662) 453-9173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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