Individual
VICTORIA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4435 EASTGATE MALL, STE 120, SAN DIEGO, CA 92121-1982
(858) 587-8669
(858) 587-8675
Mailing address
6826 DORIANA ST, APT 19, SAN DIEGO, CA 92139-2035
(619) 646-9703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10176
CA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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