NPI | 1295508174 |
---|---|
Doing Business As | MOREAU PHYSICAL THERAPY |
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 |