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THERESA M GAUTHIER PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1821043902

Individual Registrant:
 THERESA M GAUTHIER PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
245 ALVORD PARK  TORRINGTON, CT 06790 US
Tel: 860-482-8539  Fax: 860-482-0258

Contact information for business:
245 ALVORD PARK  TORRINGTON, CT 06790 US
Tel: 860-482-8539  Fax: 860-482-0258

Registration Information:
NPI: 1821043902
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003889

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA4220313CT01
BC080003889CT2201




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