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Organization
MOREAU PHYSICAL THERAPY INC.
Active
Organization
MOREAU PHYSICAL THERAPY INC.
Active
Parent organization
MOREAU PHYSICAL THERAPY INC.
Other names
Moreau Physical Therapy, Alvin C Moreau Jr. Licensed Physical Therapist DTD 01 15 82
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREAU PHYSICAL THERAPY INC.
Authorized official
CRISTINA M FAUCHEUX PT (VICE PRESIDENT)
(225) 654-8208
Entity
Organization
Contact information
Practice address
17534 OLD JEFFERSON HWY STE A1, PRAIRIEVILLE, LA 70769-3978
(225) 673-4370
(225) 673-2241
Mailing address
4324 S SHERWOOD FOREST BLVD STE B170, BATON ROUGE, LA 70816-4481
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/02/2023
Last updated
09/05/2024
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