Individual
BRYCEYDA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2011 KENTLAND DR, HOUSTON, TX 77067-2050
(832) 857-8418
Mailing address
2011 KENTLAND DR, HOUSTON, TX 77067-2050
(832) 857-8418
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215961
TX
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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