Individual
JACLYN M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7120
(702) 515-4009
Mailing address
2785 AUDRA FAYE AVE, HENDERSON, NV 89052-5002
(702) 862-9886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10-1028
NV
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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