MEDICARE: ADRIANA GUZMAN OTR

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	115456	TX

General Provider Information

NPI Number	:	1033557566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA GUZMAN OTR

Provider Business Mailing Address
First Line	:	12708 RIATA VISTA CIR STE A106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-7174
Country	:	US
Telephone Number	:	512-795-2422
Fax Number	:

Provider Business Practice Location Address
First Line	:	12708 RIATA VISTA CIR STE A106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-7174
Country	:	US
Telephone Number	:	512-795-2422
Fax Number	:

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

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	08/14/2024

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