Provider Demographics
NPI:1750817342
Name:GUIMBARDA, ANNA M (MOT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:GUIMBARDA
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN
Mailing Address - Street 2:STE 600C
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:630-575-7450
Practice Address - Street 1:5201 MID AMERICA PLZ
Practice Address - Street 2:SUITE 2600
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-0002
Practice Address - Country:US
Practice Address - Phone:314-487-7000
Practice Address - Fax:314-487-7001
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist