Individual
RICHARD GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5400
Mailing address
875 BOULEVARD E APT 20, WEEHAWKEN, NJ 07086-7042
(201) 430-3827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009280-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
46TA09138300
NJ
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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