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Individual

DEBRA HINKLE GAUTHREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LOTR

Contact information

Practice address
1805 COLLEGE DR, BATON ROUGE, LA 70808-1919
(225) 923-3420
(225) 922-9316
Mailing address
4064 MIMOSA ST, BATON ROUGE, LA 70808-3745
(225) 663-2446

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z10195
LA

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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