Provider Demographics
NPI:1457688509
Name:GUERRERO, JOEL RODIN (JOEL GUERRERO, OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:RODIN
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:JOEL GUERRERO, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 BLAIR MILL RD
Mailing Address - Street 2:APT A20
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:732-857-7215
Mailing Address - Fax:
Practice Address - Street 1:2601 BLAIR MILL RD
Practice Address - Street 2:APT A20
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1130
Practice Address - Country:US
Practice Address - Phone:732-857-7215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010182225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist