Individual
MARISOL GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 E BROADWAY ST, CUERO, TX 77954-2133
(361) 275-9133
Mailing address
102 REBECCA LN, VICTORIA, TX 77901-2505
(361) 935-2714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116619
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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