Healthcare Provider Details

I. General information

NPI: 1932393535
Provider Name (Legal Business Name): DIANA SUE GUARINONI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANA SUE GUZIK PT

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 02/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998-B MAIN STREET
BENTLEYVILLE PA
15314
US

IV. Provider business mailing address

1100 ASHWOOD COMMONS DRIVE SUITE 1104
CANONSBURG PA
15317
US

V. Phone/Fax

Practice location:
  • Phone: 724-239-5777
  • Fax: 724-239-3036
Mailing address:
  • Phone: 724-745-5750
  • Fax: 724-745-8624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-007098L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: