Individual
MR. JUAN GUTIERREZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2590 TX-337 LOOP, NEW BRAUNFELS, TX 78130
(830) 620-0509
Mailing address
347 SONATA CYN, SPRING BRANCH, TX 78070-2265
(210) 818-9242
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215794
TX
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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