Individual
REINALDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2820 SW 98TH CT, MIAMI, FL 33165-2951
(786) 316-7284
Mailing address
2820 SW 98TH CT, MIAMI, FL 33165-2951
(786) 316-7284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17753
—
FL
Enumeration date
07/13/2021
Last updated
07/13/2021
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