Provider Demographics
NPI:1235285958
Name:GUADARRAMA, ANNE E (OT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:E
Last Name:GUADARRAMA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:3057 LORNA RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4514
Mailing Address - Country:US
Mailing Address - Phone:205-987-9939
Mailing Address - Fax:205-968-4157
Practice Address - Street 1:3057 LORNA RD
Practice Address - Street 2:SUITE 220
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4514
Practice Address - Country:US
Practice Address - Phone:205-987-9939
Practice Address - Fax:205-968-4157
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3039225XP0200X
AL3569225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH1608Medicaid