Individual
MRS. ANGELA L GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1202 S GLENBURNIE RD, NEW BERN, NC 28562-2608
(252) 672-9303
(252) 672-9302
Mailing address
1202 S GLENBURNIE RD, NEW BERN, NC 28562-2608
(252) 672-9303
(252) 672-9302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013PO
BCBS NC PROVIDER #
NC
05
—
7200096
—
NC
Enumeration date
10/11/2006
Last updated
08/31/2007
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