Individual
MRS. ELIZABETH MARIE GUTBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(330) 225-4879
Mailing address
5286 MORNING SONG DRIVE, MEDINA, OH 44256
(330) 725-1385
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT002749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853194
—
OH
Enumeration date
10/04/2006
Last updated
06/19/2012
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