Individual
JULIE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
10143 FURMAN CT NW, ALBUQUERQUE, NM 87114-4655
(505) 435-5072
Mailing address
10143 FURMAN CT NW, ALBUQUERQUE, NM 87114-4655
(505) 435-5072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3491
NM
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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