MEDICARE: TERESA GUERRA DPT

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	225100000X	Physical Therapist	PT310266	CA

General Provider Information

NPI Number	:	1144156894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA GUERRA DPT

Provider Business Mailing Address
First Line	:	20528 BOLAND FARM RD STE 211
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20528 BOLAND FARM RD STE 211
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4038
Country	:	US
Telephone Number	:	301-916-0164
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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