| Doctor Name: | MRS. MARY CHARLENE GUARDIA |
| NPI Number: | 1033128236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L,CHT |
| License Number: | 00002991 |
| Business Practice Address: | 2921 78th Avenue Ct Nw Gig Harbor, WA - 983356498 |
| Business Phone Number: | 2533633758 |
| Business Fax Number: | |
| Mailing Address: | 2921 78th Avenue Ct Nw, GIG HARBOR |
| State: | WA |
| Postal Code: | 983356498 |
| Phone Number: | 2533633758 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 00002991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |