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Marisa M Hope Gutierrez, PT

Physical Therapist in Kenosha, WI. Individual provider (NPI-1).

NPI number1699365437
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1699365437
Entity type
Individual (NPI-1)
Name
Marisa M Hope Gutierrez
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2021
Certification date
Jan 3, 2022
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–WIYes

Practice location

10400 75th St
Kenosha, WI 53142-7884

Phone 262-948-5600

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

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