Individual provider · NPI-1

Jeannia Gutierrez

Developmental Therapist · Plantation, FL

NPI number1124898200
StatusActive
Last updated in NPPESFeb 2, 2024

Details

NPI
1124898200
Entity type
Individual (NPI-1)
Name
Jeannia Gutierrez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2024
Certification date
Feb 2, 2024
Last updated
Feb 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist–FLYes

Practice location

642 Commodore Dr
Plantation, FL 33325-2192

Phone 954-328-9491

Mailing address

642 Commodore Dr
Plantation, FL 33325-2192

Phone 954-328-9491

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Developmental Therapist providers in Plantation, FL