Doctor Name: | CLARISA STEPHANIE GUERRERO |
NPI Number: | 1063668143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT019351 |
Business Practice Address: | 1485 International Pkwy Ste 2051 Heathrow, FL - 327465352 |
Business Phone Number: | 8887986035 |
Business Fax Number: | |
Mailing Address: | 187 Chalfield Lane, MISSISSAUGA |
State: | ONTARIO |
Postal Code: | L4Z1K9 |
Phone Number: | 9058967551 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2008 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT019351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |