Provider Demographics
NPI:1740510890
Name:GUERRERO, JULIANA (RPT)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 W COUNTRY CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-4453
Mailing Address - Country:US
Mailing Address - Phone:305-776-4790
Mailing Address - Fax:
Practice Address - Street 1:661 W COUNTRY CLUB CIR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4453
Practice Address - Country:US
Practice Address - Phone:305-776-4790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist