Individual
JOSE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
501 S COLTRANE RD STE A, EDMOND, OK 73034-6729
(580) 318-9415
Mailing address
14017 BIRCH LN, JONES, OK 73049-3494
(580) 318-1159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2656
OK
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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