Individual
LIV HELENA HAINES GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT/L
Contact information
Practice address
50 INDIAN NECK RD, WAREHAM, MA 02571-2174
(508) 295-6264
(508) 295-3484
Mailing address
74 CENTER ST, FAIRHAVEN, MA 02719-3806
(508) 789-4087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7956
MA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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