IndividualActive
Diego Herrera Gutierrez, OTR/L
NPI 1710583398 · Physical Rehabilitation Occupational Therapist · Clemmons, NC
Provider details
- NPI number
- 1710583398
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13333 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6000 Meadowbrook Mall Ct Ste 22
Clemmons, NC 27012-8775
Phone: (336) 778-0292
Approximate (ZIP-level) locationGet directions
Mailing address
406 Salem Springs Dr
Winston Salem, NC 27107-1594
Registry dates
- Enumerated
- 2020-12-08
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.