Individual
MR. PETER RAYMOND GAUTHIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
46 MCQUADES LN, NORTHBRIDGE, MA 01534-1042
(508) 234-5096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6042
MA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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