| Jayvin David Sunga, | |
|
900 S 12th St, Rocky Ford, CO 81067-2128 | |
| (719) 254-3314 | |
| Not Available |
| Full Name | Jayvin David Sunga |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 900 S 12th St, Rocky Ford, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841780574 | NPI | - | NPPES |
| 1346697471 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0015488 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jayvin David Sunga, 2307 1/2 Belleview Ave, La Junta, CO 81050-3307 Ph: (719) 417-0099 | Jayvin David Sunga, 900 S 12th St, Rocky Ford, CO 81067-2128 Ph: (719) 254-3314 |
Mrs. Wendy S. Adrian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 S. 12th St, Rocky Ford, CO 81067 Phone: 719-254-4202 | |
Mr. Dale N Horiuchi, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 South 12th Street, Rocky Ford, CO 81067 Phone: 719-254-4202 Fax: 719-254-4202 |