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Individual

SAMANTHA ELIZABETH GAUTHIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
9433 BEE CAVE RD STE 101, AUSTIN, TX 78733-6135
(512) 306-8007
Mailing address
14920 BEN DAVIS DR, AUSTIN, TX 78725-1400
(978) 397-3886

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217189
TX

Other

Enumeration date
11/23/2021
Last updated
11/23/2021
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