Provider Demographics
NPI:1568491751
Name:VIANA, STEVEN GUARDA (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GUARDA
Last Name:VIANA
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 VAUXHALL RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5823
Mailing Address - Country:US
Mailing Address - Phone:908-964-7606
Mailing Address - Fax:908-486-1630
Practice Address - Street 1:700 W CURTIS ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-5772
Practice Address - Country:US
Practice Address - Phone:908-963-8561
Practice Address - Fax:908-486-1630
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001132002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer