| Doctor Name: | PHYLLIS LOUISE GUARRERA-BOWLBY |
| NPI Number: | 1629279013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | QA02050 |
| Business Practice Address: | 301 Cedar St Garwood, NJ - 070271108 |
| Business Phone Number: | 9087891378 |
| Business Fax Number: | |
| Mailing Address: | 301 Cedar St, GARWOOD |
| State: | NJ |
| Postal Code: | 070271108 |
| Phone Number: | 9087891378 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | QA02050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |