Individual
FATIMA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE STE 4, BANNING, CA 92220-3082
(951) 769-7900
(888) 854-7592
Mailing address
1329 BARTON RD STE B, REDLANDS, CA 92373-4419
(909) 255-1694
(909) 307-0273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50541
CA
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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