Individual
KEITH GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1300 N WATER ST, PLATTEVILLE, WI 53818-1452
(608) 348-2453
Mailing address
1300 N WATER ST, PLATTEVILLE, WI 53818-1452
(608) 348-2453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
492526
WI
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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