Individual
MELISSA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 430, SOUTH BEND, IN 46635-1571
(574) 968-2851
(574) 968-2855
Mailing address
6301 UNIVERSITY COMMONS, SUITE 430, SOUTH BEND, IN 46635-1571
(574) 968-2851
(574) 968-2855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01050166A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201056080
—
IN
Enumeration date
08/30/2011
Last updated
11/06/2014
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