Individual
BROOKE GAUVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E ESPLANADE DR STE 102, OXNARD, CA 93036-2179
(661) 600-6759
(805) 830-1777
Mailing address
PO BOX 6757, THOUSAND OAKS, CA 91359-6757
(661) 600-6759
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
294369
CA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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