MEDICARE: GLENN GUTERMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1568277218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENN GUTERMAN

Provider Business Mailing Address
First Line	:	1459 MONTGOMERY BELL RD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-0018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8911 REGENTS PARK DR STE 540
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3400
Country	:	US
Telephone Number	:	813-461-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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Directions to “ GLENN GUTERMAN ” Practice Location

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