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NPI Code Detail

MEDICARE: ALEXANDRIA MARIE GUERRA DPT

MEDICARE:   ALEXANDRIA MARIE 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
1225100000XPhysical Therapist1290058TX

General Provider Information

NPI Number : 1942084165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA MARIE GUERRA DPT
Provider Business Mailing Address
First Line : 5806 GULF MDW
Second Line :
City : CONVERSE
State : TX
Zip : 78109-3175
Country : US
Telephone Number : 682-478-7465
Fax Number :
Provider Business Practice Location Address
First Line : 816 EVERYDAY WAY
Second Line :
City : CIBOLO
State : TX
Zip : 78108-4080
Country : US
Telephone Number : 210-538-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “ ALEXANDRIA MARIE GUERRA DPT” Practice Location

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