PHILLIP THIBODEAUX

KENNER, LA
NPI1558745786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09125R)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- PHILLIP THIBODEAUX
1600 WILLIAMS BLVD
KENNER, LA 70062-6304
Phone number: 504-468-1506
Mailing Address
-- PHILLIP THIBODEAUX
4117 WOODWAY DR
MONROE, LA 71201-2218
Phone number: