Individual
ALYSSA ANN GUTOWIECZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1194 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1615
(610) 558-7840
Mailing address
2700 WEIR RD, ASTON, PA 19014-1707
(610) 755-8352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011455
PA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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