| Doctor Name: | MR. JOHN GABRIEL GUILLAMA |
| NPI Number: | 1215935465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 017562 |
| Business Practice Address: | 170 N Henderson Rd King Of Prussia, PA - 194062155 |
| Business Phone Number: | 6107553088 |
| Business Fax Number: | 6109929354 |
| Mailing Address: | 420 Bainbridge St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191471568 |
| Phone Number: | 2156293837 |
| Fax Number: | 2156295531 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 017562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |