Individual
DR. ANDREA RENEE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
414 SIPAPU ST, TAOS, NM 87571-6498
(575) 758-8761
Mailing address
26518 E US HIGHWAY 64, TAOS, NM 87571-7107
(915) 276-1518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2023-2200
NM
Other
Enumeration date
07/24/2023
Last updated
08/10/2023
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