Provider Demographics
NPI:1316224637
Name:GUARIN, SHEILANOR MARALIT (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILANOR
Middle Name:MARALIT
Last Name:GUARIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:SHEILANOR
Other - Middle Name:MORA
Other - Last Name:MARALIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11330 YOUNGSTOUN DR
Mailing Address - Street 2:APT #1710
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-8118
Mailing Address - Country:US
Mailing Address - Phone:703-939-3222
Mailing Address - Fax:
Practice Address - Street 1:154 N ARTIZAN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:MD
Practice Address - Zip Code:21795-1104
Practice Address - Country:US
Practice Address - Phone:301-223-7941
Practice Address - Fax:301-223-7941
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23201225100000X
PAPT020508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD216665Medicare Oscar/Certification