Provider Demographics
NPI:1386442440
Name:GUTIERREZ, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 RICHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CATHARPIN
Mailing Address - State:VA
Mailing Address - Zip Code:20143
Mailing Address - Country:US
Mailing Address - Phone:703-402-7172
Mailing Address - Fax:
Practice Address - Street 1:130 S 20TH ST
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3301
Practice Address - Country:US
Practice Address - Phone:540-227-0390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist