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1144699562
THAD THIBODEAUX
ROUND ROCK, TX
NPI
1144699562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1255336)
Enumeration Date
2015-09-15
Last Update Date
2020-12-30
Business Address
THAD THIBODEAUX
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665-1047
Phone number: 512-509-0200
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Mailing Address
THAD THIBODEAUX
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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