Individual
CAROLINA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15745 DORA AVE, TAVARES, FL 32778-4943
(352) 432-3206
Mailing address
15745 DORA AVE, TAVARES, FL 32778-4943
(352) 432-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26072
FL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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