Provider Demographics
NPI:1689282394
Name:GUZMAN, MARIA TERESA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARIA TERESA
Middle Name:
Last Name:GUZMAN
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 1:6607 JONES LN APT A
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1968
Mailing Address - Country:US
Mailing Address - Phone:903-559-5633
Mailing Address - Fax:
Practice Address - Street 1:2900 SAINT MICHAEL DR STE 400A
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2388
Practice Address - Country:US
Practice Address - Phone:903-793-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist