Individual
BENJAMIN GUTZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
14950 S SPRINGDALE AVE, MIDDLEFIELD, OH 44062-9661
(440) 993-1004
(440) 574-7254
Mailing address
PO BOX 987, MIDDLEFIELD, OH 44062-0987
(440) 993-1004
(440) 574-7254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT019836
STATE OTPTAT BOARD LICENSE
OH
Enumeration date
05/16/2022
Last updated
05/16/2022
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