Individual
ENRICO PAULO R GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
948 POTTER AVE, UNION, NJ 07083-7622
(908) 400-0427
Mailing address
948 POTTER AVE, UNION, NJ 07083-7622
(908) 400-0427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01659000
NJ
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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