Gautier, Fabrice M

Gautier, Fabrice M is an individual health care provider with primary practice located at 260 S Beverly Drive #210 , Beverly Hills CA 90212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gautier, Fabrice M can be contacted via phone (310) 273-7660.

Contact Information

Primary practice address
260 S Beverly Drive #210 Beverly Hills CA 90212
Phone: (310) 273-7660
Fax: (310) 273-7661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 27208 California

Profile Details

NPI number 1629131602
LBN Legal business name Gautier, Fabrice M
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629131602 NPPES
California Other OPT 27208 BLUE CROSS BLUE SHIELD

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