Individual
ERIK GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 CELEBRATION PL STE C200, CELEBRATION, FL 34747-4970
(863) 633-9475
Mailing address
112 FOX RIDGE RD, LAKE PLACID, FL 33852-8502
(863) 633-9475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30954
FL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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