Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 19385 | FL |
N | 225XH1200X | Occupational Therapist - Hand | 13390 | CA |
NPI | 1205237385 |
---|---|
Provider Name | Danielle Gutierrez |
First Address | Oviedo, FL 32765-8597 |
Second Address | Oviedo, FL 32765-9262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2014 |
Last Update Date | 06/02/2020 |