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
Phone: (850) 863-4747
Fax: (850) 863-4658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT364 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT002560 | Georgia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | CHT9105000452 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831152131 | NPPES |
Florida | MEDICAID | 890873700 | |
Florida | MEDICAID | 00833621B |
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