Provider Demographics
NPI:1902157548
Name:GUARNA, CHERYL ANN (PT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:GUARNA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42742 KEILLER TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-3524
Mailing Address - Country:US
Mailing Address - Phone:571-271-5396
Mailing Address - Fax:703-729-7307
Practice Address - Street 1:42742 KEILLER TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3524
Practice Address - Country:US
Practice Address - Phone:571-271-5396
Practice Address - Fax:703-729-7307
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-23
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist