Individual
PHILIP GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
348 N PEARL ST, BROCKTON, MA 02301-1197
(508) 897-0056
(508) 584-5630
Mailing address
348 N PEARL ST, BROCKTON, MA 02301-1197
(508) 897-0056
(508) 584-5630
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
21809
MA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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