Provider Demographics
NPI:1184672735
Name:GUERIN, CECILIA TERESE (PT)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:TERESE
Last Name:GUERIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 CHELTENHAM AVENUE
Mailing Address - Street 2:CEDARBROOK PLAZA
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095
Mailing Address - Country:US
Mailing Address - Phone:215-517-7551
Mailing Address - Fax:215-517-7549
Practice Address - Street 1:3201 CHELTENHAM AVENUE
Practice Address - Street 2:SUITE 207
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095
Practice Address - Country:US
Practice Address - Phone:215-517-7551
Practice Address - Fax:215-517-7549
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist