| Angelique C Gutierrez, | |
|
123 Dupont Dr Nw, Aiken, SC 29801-4089 | |
| (803) 648-0434 | |
| Not Available |
| Full Name | Angelique C Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 123 Dupont Dr Nw, Aiken, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992349617 | NPI | - | NPPES |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790302164 PECOS PAC ID: 4385929892 Enrollment ID: O20200727001211 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique C Gutierrez, 1520 S Esperanza St, Las Cruces, NM 88001-4244 Ph: (575) 418-7582 | Angelique C Gutierrez, 123 Dupont Dr Nw, Aiken, SC 29801-4089 Ph: (803) 648-0434 |
Mrs. Patricia Shoemake Luke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Brookhaven Dr, Aiken, SC 29803 Phone: 803-641-2624 | |
David Michael Bernard, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-8344 | |
Elizabeth Noelle Hammond, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Town Creek Rd, Aiken, SC 29803 Phone: 803-642-0700 Fax: 803-642-0588 | |
Michael Joseph Schwab, OT, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Eastgate Dr, Aiken, SC 29803 Phone: 803-643-3694 | |
Holly Lynne Shurtleff, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Medical Park Dr, Aiken, SC 29801 Phone: 803-293-4326 | |
Heather Leigh Raynack, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-8344 | |
Jamie Holmes, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Longwood Dr, Aiken, SC 29803 Phone: 803-522-5599 |