MARISA GOPAUL
Physical Therapist
Active
Individual
NPI: 1780063768
Practice Address
104 W D. L. INGRAM AVENUEBLDG. 1408 CANNON AFB
Cannon Afb, NM 88101
Phone: (575) 784-2778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT30177 (FL) |
Frequently Asked Questions
NPI 1780063768 is the National Provider Identifier for MARISA GOPAUL, a Physical Therapist provider located in Cannon Afb, NM. This NPI was enumerated on May 25, 2015.
MARISA GOPAUL practices at 104 W D. L. INGRAM AVENUE, BLDG. 1408 CANNON AFB, Cannon Afb, NM 88101.
Quick Facts
- NPI
- 1780063768
- Type
- Individual
- Enumerated
- May 25, 2015
- Last Updated
- Dec 18, 2025
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