Provider Demographics
NPI:1326721218
Name:GUERRERO, CRISTINA MARIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MARIE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N TUSTIN AVE STE 407
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3608
Mailing Address - Country:US
Mailing Address - Phone:714-862-2123
Mailing Address - Fax:714-862-2124
Practice Address - Street 1:801 N TUSTIN AVE STE 407
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3608
Practice Address - Country:US
Practice Address - Phone:714-862-2123
Practice Address - Fax:714-862-2124
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist