MEDICARE: DEBRA GUARNERI OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	9027881	NY

General Provider Information

NPI Number	:	1780044065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA GUARNERI OTR/L

Provider Business Mailing Address
First Line	:	6 ROSEWOOD CT
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 102ND ST
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12180-1125
Country	:	US
Telephone Number	:	518-273-6600
Fax Number	:	518-273-9567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	03/01/2016

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Directions to “ DEBRA GUARNERI OTR/L” Practice Location

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