Individual
MR. KENNETH A GUZZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
200 TUCKERTON RD, STE 17, MEDFORD, NJ 08055-8806
(856) 396-2250
(856) 810-0373
Mailing address
200 TUCKERTON RD, STE 17, MEDFORD, NJ 08055-8806
(856) 396-2250
(856) 810-0373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017218
PA
225100000X
Physical Therapist
PTO017218L
PA
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01251600
NJ
Other
Enumeration date
07/11/2007
Last updated
08/29/2011
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