Provider Demographics
NPI:1275168296
Name:GUERRERO, JULIA K (DPT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:K
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24A COURT M
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2944
Mailing Address - Country:US
Mailing Address - Phone:732-534-2562
Mailing Address - Fax:
Practice Address - Street 1:685 ROUTE 70
Practice Address - Street 2:UNITS 4B & 6B
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733
Practice Address - Country:US
Practice Address - Phone:732-237-7100
Practice Address - Fax:732-237-3117
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01915800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist