MR. Jerome Gerongco Canama, PT

NPI #1992983142 in Mexico, Missouri

Provider Information

NPI Number: 1992983142
Entity Type: Individual
Name: MR. Jerome Gerongco Canama, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 8, 2008
Last Updated: Feb 8, 2008

Practice Location

Address: 407 YALE ST
City: Mexico
State: Missouri
ZIP Code: 65265-2340
Phone: (925) 285-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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