Individual
MRS. TERESA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7015 75TH ST SW, LAKEWOOD, WA 98498-6333
(253) 582-5776
Mailing address
7015-75TH ST. SW, LAKEWOOD, WA 98498
(253) 459-7970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
PT-2464
WA
Other
Enumeration date
09/29/2006
Last updated
07/29/2009
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