Basic Information
Provider Information
NPI: 1588906531
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUARINO
FirstName: DEBORAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 GRIFFIN RD STE 5
Address2:  
City: PORTSMOUTH
State: NH
PostalCode: 038017145
CountryCode: US
TelephoneNumber: 8007785560
FaxNumber:  
Practice Location
Address1: 200 GRIFFIN RD STE 5
Address2:  
City: PORTSMOUTH
State: NH
PostalCode: 038017145
CountryCode: US
TelephoneNumber: 8007785560
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/17/2013
LastUpdateDate: 10/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200X0435NHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
225XP0200X3283MAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
225XP0200XOT2835MEN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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