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Organization
THE FASCIA PERFORMANCE GROUP, LLC
Active
Organization
THE FASCIA PERFORMANCE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES COURSEAULT MD (CEO)
(504) 386-3488
Entity
Organization
Contact information
Practice address
1600 SAINT CHARLES AVE # 1B, NEW ORLEANS, LA 70130-4436
(504) 704-1254
(866) 572-0930
Mailing address
1600 SAINT CHARLES AVE # 102, NEW ORLEANS, LA 70130-4436
(504) 386-3488
(800) 471-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
04/06/2026
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