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Individual

DR. CHAD MICHAEL GUTHRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2355 VIDINA DR, VIERA, FL 32940-7698
(321) 775-6800
(321) 775-4888
Mailing address
2355 VIDINA DR, VIERA, FL 32940-7698
(321) 775-6800

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT23158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
884156046
FL
Enumeration date
03/01/2007
Last updated
12/24/2019
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