Individual
JOHANNA P GUARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
290 BAKER AVE, SUITE 111, CONCORD, MA 01742
(978) 369-0730
Mailing address
36 MEADOWBROOK RD, BEDFORD, MA 01730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7662
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0706612
—
MA
01
—
Y68421
BCBS
MA
Enumeration date
07/13/2006
Last updated
07/08/2007
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