Thileasea Gauthier, | |
7414 Sumrall Dr, Baton Rouge, LA 70812-1240 | |
(225) 767-2034 | |
Not Available |
Full Name | Thileasea Gauthier |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 7414 Sumrall Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023705647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.200625 (Louisiana) | Primary |
Provider Name | Synergy Care Southeast, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
Mailing Address | Practice Location Address |
---|---|
Thileasea Gauthier, 2423 Larguier Ln, Port Allen, LA 70767-3245 Ph: (337) 331-2100 | Thileasea Gauthier, 7414 Sumrall Dr, Baton Rouge, LA 70812-1240 Ph: (225) 767-2034 |
Mr. Don E Gulczynski, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8768 Quarters Lake Rd, Baton Rouge, LA 70809 Phone: 225-752-3330 Fax: 225-752-0888 | |
Shelby Wells Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Mrs. Kourtney Leigh Dunbar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 | |
Kirk Wharton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3311 Shadow Hill Dr, Baton Rouge, LA 70816 Phone: 504-250-4172 | |
Meghan C Poche, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18268 Petroleum Dr, Baton Rouge, LA 70809 Phone: 225-292-4138 Fax: 225-292-4142 | |
Staci Chambley, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 S Foster Dr, Baton Rouge, LA 70806 Phone: 225-922-5400 |