| Sophia Brett Hansen, | |
|
643 Chalan San Antonio, Ste 108, Tamuning, GU 96913-3644 | |
| (858) 926-6193 | |
| Not Available |
| Full Name | Sophia Brett Hansen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 643 Chalan San Antonio, Tamuning, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134717663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 299263 (California) | Secondary |
| 225100000X | Physical Therapist | PT-164 (Guam) | Primary |
| Provider Name | Newgen Aesthetics & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467908673 PECOS PAC ID: 6901237098 Enrollment ID: O20200505000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Brett Hansen, Po Box 290087, Yigo, GU 96929-3031 Ph: (858) 926-6193 | Sophia Brett Hansen, 643 Chalan San Antonio, Ste 108, Tamuning, GU 96913-3644 Ph: (858) 926-6193 |
Archaellus John Dela Vega Pamintuan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-647-5355 | |
Kathrina May A Pamintuan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-647-5358 | |
Gina Ridolfo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Pale San Vitores Rd, Apt 1003, Tamuning, GU 96913 Phone: 671-787-7513 | |
Erickson Gascon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5825 | |
Lorraine Michelle Torres Gozum, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5825 | |
Rieza Mari Reyes Sabido, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Chalan Pasaheru Unit 2, Tamuning, GU 96913 Phone: 671-647-5355 Fax: 671-649-0404 |