Individual
LUCAS PENALOZA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3864 SWEETEN CREEK RD, ARDEN, NC 28704-3136
(828) 681-0904
Mailing address
715 BRYSON RD, CANDLER, NC 28715-9573
(828) 767-7534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8033
NC
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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