Provider Demographics
NPI:1639254774
Name:GUTTUSO, TRINIA MARIE (TRINIA GUTTUSO OTR,)
Entity Type:Individual
Prefix:MRS
First Name:TRINIA
Middle Name:MARIE
Last Name:GUTTUSO
Suffix:
Gender:F
Credentials:TRINIA GUTTUSO OTR,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10523 CARROLLTON CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6795
Mailing Address - Country:US
Mailing Address - Phone:281-778-6170
Mailing Address - Fax:281-778-6170
Practice Address - Street 1:4126 SOUTHWEST FWY
Practice Address - Street 2:SUITE 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7310
Practice Address - Country:US
Practice Address - Phone:713-520-1210
Practice Address - Fax:713-400-8302
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107935225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand