Individual
ROXANNA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E SAUNDERS ST, SUITE 3, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Mailing address
2335 E SAUNDERS ST, SUITE 3, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209449
STATE LICENSE
TX
Enumeration date
08/05/2007
Last updated
08/06/2007
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