MARK SIEGEL

THIBODAUX, LA
NPI1588863799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: LA  PT03218)
Enumeration Date2007-07-17
Last Update Date2007-11-01
Business Address
-- MARK SIEGEL
508 N ACADIA RD
THIBODAUX, LA 70301-4862
Phone number: 985-448-5888
Mailing Address
-- MARK SIEGEL
PO BOX 676
THIBODAUX, LA 70302-0676
Phone number:
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