Individual
ADA GUARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 828-0754
Mailing address
44 SEQUOIA LN, NORTH WATERBORO, ME 04061-4948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT143
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022076
ANTHEM MAINE
NH
01
—
1283910
AETNA
ME
01
—
25409248
TRICARE
ME
Enumeration date
02/14/2007
Last updated
07/09/2007
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