Individual
MARTHA LAURA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
302 LILLY DR, SAN JUAN, TX 78589-4927
(956) 457-8691
Mailing address
302 LILLY DR, SAN JUAN, TX 78589-4927
(956) 457-8691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209568
TX
Other
Enumeration date
02/08/2008
Last updated
12/30/2014
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