Individual
SANDRA NOE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12440 ROJAS DR, EL PASO, TX 79928-5261
(915) 937-1896
Mailing address
2101 GREENLEE DR, EL PASO, TX 79936-3941
(915) 241-0995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109140
TX
251300000X
Local Education Agency (LEA)
109140
TX
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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