Individual
YIUSEPPE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6939 W 24TH CT, HIALEAH, FL 33016
(305) 904-5455
Mailing address
4512 CAVE CREEK CT, FORT WORTH, TX 76137-5604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213057
TX
224Z00000X
Occupational Therapy Assistant
OTA12927
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA17480
FL
Other
Enumeration date
02/11/2014
Last updated
08/10/2020
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