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NPI Code Detail

MEDICARE: AIMEE CATHERINE GUARRIELLO PT, OCS, CSCS

MEDICARE: AIMEE CATHERINE GUARRIELLO PT, OCS, CSCS
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 Therapist4508OR

General Provider Information

NPI Number : 1689703944
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE CATHERINE GUARRIELLO PT, OCS, CSCS
Provider Business Mailing Address
First Line : 1506 SE YUKON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-5318
Country : US
Telephone Number : 503-753-5639
Fax Number : 503-230-1745
Provider Business Practice Location Address
First Line : 1610 SE GLENWOOD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-5615
Country : US
Telephone Number : 503-230-1744
Fax Number : 503-230-1745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ AIMEE CATHERINE GUARRIELLO PT, OCS, CSCS” Practice Location

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