Provider Demographics
NPI:1457629933
Name:GUARIGLIO, LINDA S (ATC/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
Last Name:GUARIGLIO
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 S AARON
Mailing Address - Street 2:UNIT 320
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-3791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2626 E PECOS RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2413
Practice Address - Country:US
Practice Address - Phone:480-732-7003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01882255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer