Provider Demographics
NPI:1831705102
Name:GUERRERO, ELIANA (MS, OTR/L-CLT)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MS, OTR/L-CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 NW 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6501
Mailing Address - Country:US
Mailing Address - Phone:305-491-5475
Mailing Address - Fax:
Practice Address - Street 1:1780 NW 104TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6501
Practice Address - Country:US
Practice Address - Phone:305-491-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist