Gutierrez, Teresa M

Gutierrez, Teresa M is an individual health care provider with primary practice located at 405 Racetrack Rd Ne Suite 101, Fort Walton Beach FL 32547-2561. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gutierrez, Teresa M can be contacted via phone (850) 863-4747.

Contact Information

Primary practice address
405 Racetrack Rd Ne Suite 101 Fort Walton Beach FL 32547-2561
Fax: (850) 863-4658
Website:

Profile Details

NPI number 1831152131
LBN Legal business name Gutierrez, Teresa M
Credentials OT CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Apr 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831152131 NPPES
Florida MEDICAID 890873700
Florida MEDICAID 00833621B

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