| 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 |