Individual
REGINA E GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3507 PEDERNALES TRAILS LN, KATY, TX 77450-3508
(832) 465-0628
Mailing address
3507 PEDERNALES TRAILS LN, KATY, TX 77450-3508
(832) 465-0628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217627
TX
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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