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Individual

LEO GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
5895 WHIPOORWILL LN, FORT PIERCE, FL 34987-3124
(772) 828-9106
Mailing address
5895 WHIPOORWILL LN, FORT PIERCE, FL 34987-3124
(772) 828-9106

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10981
FL

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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