Provider Demographics
NPI:1124071642
Name:GUERRA, SARA E (PT)
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:E
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1752 S. VICTORIA AVENUE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6195
Mailing Address - Country:US
Mailing Address - Phone:805-339-0171
Mailing Address - Fax:805-644-4211
Practice Address - Street 1:1752 S VICTORIA AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6192
Practice Address - Country:US
Practice Address - Phone:805-339-0171
Practice Address - Fax:805-644-4211
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT39284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist