Provider Demographics
NPI:1730203654
Name:GUARINO, ANTHONY CARL (NCMMT,CPT, EP)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:CARL
Last Name:GUARINO
Suffix:
Gender:M
Credentials:NCMMT,CPT, EP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 175
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2525
Mailing Address - Country:US
Mailing Address - Phone:617-678-8880
Mailing Address - Fax:617-507-7917
Practice Address - Street 1:482 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1402
Practice Address - Country:US
Practice Address - Phone:617-678-8880
Practice Address - Fax:617-507-7917
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA028109-00225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist