Individual
BERTHA A GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12159 ALEX GUERRERO CIR, EL PASO, TX 79936-0921
(915) 820-5755
Mailing address
12159 ALEX GUERRERO CIR, EL PASO, TX 79936-0921
(915) 820-5755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074973
TX
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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