Individual
AMY GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7508
(920) 849-1811
Mailing address
24426 MARQUETTE RD, BRILLION, WI 54110-9527
(920) 756-2291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11097-024
WI
Other
Enumeration date
08/26/2008
Last updated
09/16/2008
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