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Individual
MR. JASON JACK GUARNERI
Active
Individual
MR. JASON JACK GUARNERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, SCS, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1 - 0001975
DE
225100000X
Physical Therapist
Primary
PT018523
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036972
—
DE
01
—
1134233398
CHAMPUS TRICARE
—
01
—
1990451
PABS
—
01
—
2860990000
IBC AMERIHEALTH
—
01
—
5070-0049
CAREFIRST
—
01
—
91128101
CAREFIRST
—
Enumeration date
08/17/2006
Last updated
01/15/2014
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