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Individual

ALDOLFO GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1403 N SEYMOUR AVE, LAREDO, TX 78040-8752
(956) 723-6700
(956) 724-5559
Mailing address
2805 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
(956) 316-2224
(956) 316-0445

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2048148
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2048148
PTA
TX
Enumeration date
01/02/2007
Last updated
03/10/2010
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