Individual
JUAN EDUARDO GUTIERREZ VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
206 6TH ST, RADFORD, VA 24141-2408
(540) 633-1003
Mailing address
1250 ORANGE LEAF CT, CHRISTIANSBURG, VA 24073-7673
(540) 449-3709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606414
VA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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