Individual
MS. JESSICA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
173 GROVE ST, WORCESTER, MA 01605-1715
(508) 791-8740
Mailing address
173 GROVE ST, WORCESTER, MA 01605-1715
(508) 791-8740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7811
MA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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