Individual
JAMIE L GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 S ROUTE 31, CRYSTAL LAKE, IL 60014-8190
(779) 220-5500
(779) 220-5184
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 741-7652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009914
IL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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