Provider Demographics
NPI:1114191046
Name:GUZMAN, MARIA THERESA (RPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:THERESA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4439 CLAIRSON CT
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2647
Mailing Address - Country:US
Mailing Address - Phone:727-224-4433
Mailing Address - Fax:727-493-0094
Practice Address - Street 1:4439 CLAIRSON CT
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2647
Practice Address - Country:US
Practice Address - Phone:727-224-4433
Practice Address - Fax:727-493-0094
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 10215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist