Individual
THILEASEA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7414 SUMRALL DR, BATON ROUGE, LA 70812-1240
(225) 767-2034
Mailing address
2423 LARGUIER LN, PORT ALLEN, LA 70767-3245
(337) 331-2100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200625
LA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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