NPI | 1649549981 |
---|---|
Doing Business As | BREAUX BRIDGE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BENJAMIN TODD THIBODEAUX Sole Member/Chiropractor 337-332-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |