MRS. Michelle Anne Entoma Guanzon, P.T.

NPI #1922253566 in Liberty, New York

Provider Information

NPI Number: 1922253566
Entity Type: Individual
Name: MRS. Michelle Anne Entoma Guanzon, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Nov 24, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 21 MILL ST
City: Liberty
State: New York
ZIP Code: 12754-2010
Phone: (845) 292-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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