NPI | 1518631639 |
---|---|
Doing Business As | THIBODAUX REGIONAL PHYSICAL MEDICINE & REHABILITATION CLINIC |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2021-08-03 |
Last Update Date | 2023-09-06 |