Individual
MRS. JOANN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8005 CORNERWOOD DRIVE, AUSTIN, TX 78717
(512) 716-1890
(512) 716-1890
Mailing address
1202 JORDAN LANE, ROUND ROCK, TX 78664
(512) 388-5932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005278
TX
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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