Individual
RAUL ESTUARDO GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
20625 N LAKE PLEASANT RD, PEORIA, AZ 85382-9704
(623) 566-0642
Mailing address
6125 W POINSETTIA DR, GLENDALE, AZ 85304-2515
(310) 946-6324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008141
AZ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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