Individual
MRS. CARLA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
414 SHILOH DR, SUITE 9, LAREDO, TX 78045-6744
(956) 791-8235
(956) 791-8239
Mailing address
1101 SANDY LN, LAREDO, TX 78045-2066
(956) 206-9648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1174650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174650
TX BOARD OF PT EXAMINERS
TX
Enumeration date
07/12/2007
Last updated
07/12/2007
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