Individual
RICK GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
(562) 430-8700
Mailing address
1700 ADAMS AVE STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA94
CA
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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