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Individual

MISS KARISSA MARIE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
948 W PIKE ST, SUITE B, CLARKSBURG, WV 26301-2529
(304) 326-2070
(304) 326-2071
Mailing address
PO BOX 450, SCOTT DEPOT, WV 25560-0450
(304) 760-6300
(304) 201-5123

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
WV 1437
WV

Other

Enumeration date
07/10/2008
Last updated
11/04/2009
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