Provider Demographics
NPI:1861685208
Name:GUARIN, LAURA M (PT, DPT, MCMT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:GUARIN
Suffix:
Gender:F
Credentials:PT, DPT, MCMT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MILENA
Other - Last Name:GUARIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9722 HIGHWAY 90A STE 101
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4626
Mailing Address - Country:US
Mailing Address - Phone:832-532-7121
Mailing Address - Fax:832-532-0387
Practice Address - Street 1:9722 HIGHWAY 90A STE 101
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4626
Practice Address - Country:US
Practice Address - Phone:832-532-7121
Practice Address - Fax:832-532-0387
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist