Individual
MARK ANTHONY GUTIERREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1201 S CLEARVIEW PKWY BLDG B, JEFFERSON, LA 70121-1015
(210) 827-2706
Mailing address
1201 S CLEARVIEW PKWY BLDG B, JEFFERSON, LA 70121-1015
(210) 827-2706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09561R
LA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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