Doctor Name: | MR. CEASAR AGUSTIN GUTIERREZ |
NPI Number: | 1568678084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501008368 |
Business Practice Address: | 1248 N Irish Rd Davison, MI - 484232213 |
Business Phone Number: | 8106581808 |
Business Fax Number: | |
Mailing Address: | 5208 Rolling Hills Dr, GRAND BLANC |
State: | MI |
Postal Code: | 484399045 |
Phone Number: | 8107015693 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501008368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |