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Individual
MR. MITCHELL ROBERT GAUTHIER
Active
Individual
MR. MITCHELL ROBERT GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006043
CT
225100000X
Physical Therapist
Primary
1209690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332086YTNB
MEDICARE PTAN
TX
Enumeration date
06/12/2006
Last updated
03/18/2024
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