Individual
MR. DJ DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1510 S VAN BUREN ST, AMARILLO, TX 79101-4130
(806) 376-1177
Mailing address
1510 S VAN BUREN ST, AMARILLO, TX 79101-4130
(806) 337-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1210159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184743601
—
TX
Enumeration date
10/24/2011
Last updated
06/09/2021
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