# MOREAU PHYSICAL THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285407122
- **Authorized official:** CRISTINA M FAUCHEUX PT (VICE PRESIDENT)
- **Authorized official phone:** (225) 654-8208

## Contact information

- **Practice address:** 577 W HIGHWAY 30 STE D, GONZALES, LA 70737-4811
- **Practice address phone:** (225) 465-2233
- **Practice address fax:** (225) 529-2433
- **Mailing address:** 4324 S SHERWOOD FOREST BLVD STE B170, BATON ROUGE, LA 70816-4481
- **Mailing address phone:** (225) 654-8208
- **Mailing address fax:** (225) 654-4642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 09/26/2024