Individual
ELIZABETH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 NW 12TH ST, OKLAHOMA CITY, OK 73106-6802
(405) 231-5800
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3137
OK
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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