Provider Demographics
NPI:1588319883
Name:GUARNIERI, TYLER (MS OTR/L)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:GUARNIERI
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-2419
Mailing Address - Country:US
Mailing Address - Phone:315-406-6367
Mailing Address - Fax:
Practice Address - Street 1:402 ROGERS PKWY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-4738
Practice Address - Country:US
Practice Address - Phone:585-957-7158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026181-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist