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NPI Code Detail

MEDICARE: AUREA GINA M GUISADIO PT

MEDICARE:   AUREA GINA M GUISADIO  PT
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
1225100000XPhysical Therapist04519TN

General Provider Information

NPI Number : 1285728634
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUREA GINA M GUISADIO PT
Provider Business Mailing Address
First Line : 1844 ROSA CIRCLE
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814
Country : US
Telephone Number : 423-748-4800
Fax Number : 423-585-5889
Provider Business Practice Location Address
First Line : 5250 WEST A.J. HIGHWAY
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814
Country : US
Telephone Number : 423-748-4800
Fax Number : 423-585-5889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ AUREA GINA M GUISADIO PT” Practice Location

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