Provider Demographics
NPI:1457735706
Name:GUARINO, CHRIS (PT)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:GUARINO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 DRIFTING CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:858-244-9767
Practice Address - Street 1:2559 WILSON ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1526
Practice Address - Country:US
Practice Address - Phone:248-761-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA42694OtherCA PT LICENSE