Individual
LISA GUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002480
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558690917
DPCI
DE
05
—
1558690917
—
DE
01
—
299171
UNISON
—
01
—
3758795000
IBC
DE
01
—
P00885363
RAILROAD MEDICARE
DE
Enumeration date
12/15/2009
Last updated
05/15/2025
Update your record
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