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Individual

STEPHEN JOSEPH GUTIERREZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
45439 LIVE OAK DRIVE, FISCAL DEPARTMENT, HAMMOND, LA 70401
(225) 567-3111
(225) 567-2017
Mailing address
45439 LIVE OAK DRIVE, FISCAL DEPARTMENT, HAMMOND, LA 70401
(225) 567-3111
(225) 567-2017

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA200020
LA

Other

Enumeration date
06/10/2009
Last updated
06/10/2009
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