Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert C Gautreau, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1356077929

Robert C Gautreau, PHYSICALTHERAPIST is a Physical Therapist in Ticonderoga, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

262 Shore Airport Rd
Ticonderoga, NY 12883-2907
Phone: (518) 207-5488
Fax: (518) 585-3263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 012163-1 (NY)

Record details

NPI number1356077929
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

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