| NPI | 1285407122 |
|---|---|
| Former Legal Business Name | ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82 |
| Entity Type | Organization |
| Authorized Contact | CRISTINA M FAUCHEUX Vice President 225-654-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-09-26 |