NPI 1568132835

Erik Gutierrez, PTA

Practitioner Physical Therapy Assistant Celebration, FL

Practice location

Address: 400 Celebration Pl STE C200, Celebration, FL 34747-4970
Phone: (863) 633-9475
Mailing address: 112 Fox Ridge Rd, Lake Placid, FL 33852-8502

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA30954 (FL)

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Registry record

NPI: 1568132835
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2021
Record last updated: 17 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.