Doctor Name: | OWEN M GAUTHIER |
NPI Number: | 1306277413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 08567 |
Business Practice Address: | 12371 Highway 90 Suite D Luling, LA - 700705114 |
Business Phone Number: | 9853311001 |
Business Fax Number: | 9853311005 |
Mailing Address: | 12371 Highway 90, Suite D LULING |
State: | LA |
Postal Code: | 700705114 |
Phone Number: | 9853311001 |
Fax Number: | 9853311005 |
NPI Enumeration Date: | 11/29/2013 |
NPI Last Update Date: | 11/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 08567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |