KELLY GAUTHIER

COLUMBIA, LA
NPI1558705673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A8147)
Enumeration Date2013-04-19
Last Update Date2013-04-19
Business Address
KELLY GAUTHIER
7726 HIGHWAY 165
COLUMBIA, LA 71418-3322
Phone number: 318-649-9827
Mailing Address
KELLY GAUTHIER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: