Michelle Marie Gutierrez COTA

NPI 1629261706 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1629261706
Gender Female
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13 NORTHTOWN DR
TRINITY REHAB SUITE 110
JACKSON MS, 39211, US
Phone (601) 206-9195
Fax (601) 957-8391
Business Location
13 NORTHTOWN DR
TRINITY REHAB SUITE 110
JACKSON MS, 39211, US
Phone (601) 206-9195
Fax (601) 957-8391
Toxanomy
Taxonomy Code 224Z00000X
License State Louisiana
License Number OTAZ20438
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According to our database, Michelle Marie Gutierrez COTA NPI is 1629261706, taxonomy code is 224Z00000X and license number is OTAZ20438, license state is located at Louisiana. Michelle Marie Gutierrez COTA physically located at 13 Northtown Dr, Jackson MS, 39211. NPI Number Michelle Marie Gutierrez COTA has the Individual type.

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1629261706 NPI number is provided on an as is basis without warranty of any kind. 1629261706 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Marie Gutierrez COTA are for informational purposes only.