| 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 |