Provider Demographics
NPI:1164781712
Name:GUTT, LOUISE ANN (OTR)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:ANN
Last Name:GUTT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HAVERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2312
Mailing Address - Country:US
Mailing Address - Phone:610-256-5806
Mailing Address - Fax:
Practice Address - Street 1:400 HAVERFORD AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2312
Practice Address - Country:US
Practice Address - Phone:610-256-5806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002538L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist