Individual
DR. BRENDAN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1095 WEST ST UNIT 1, SOUTHINGTON, CT 06489-6034
(860) 620-1705
(860) 620-1746
Mailing address
1095 WEST ST UNIT 1, SOUTHINGTON, CT 06489-6034
(860) 620-1705
(860) 620-1746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7.002335
CT
Other
Enumeration date
09/03/2024
Last updated
09/05/2024
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