Individual
MARGARET BETH GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE # 160, INDIANAPOLIS, IN 46278-1387
(317) 415-5795
Mailing address
8227 NORTHWEST BLVD, SUITE # 160, INDIANAPOLIS, IN 46278-1387
(317) 415-5795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001623A
IN
Other
Enumeration date
09/25/2012
Last updated
01/16/2013
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