# MOREAU PHYSICAL THERAPY INC.

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

## Provider details

- **NPI number:** 1487839338
- **Authorized official:** MRS. CRISTINA E FAUCHUEUX PT (VICE PRESIDENT)
- **Authorized official phone:** (225) 654-8208

## Contact information

- **Practice address:** 16309 HIGHWAY 190, PORT BARRE, LA 70577
- **Practice address phone:** (337) 585-3780
- **Practice address fax:** (337) 585-3782
- **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:** 01/09/2008
- **Last updated:** 09/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5C943 | MEDICARE BILLING NUMBER | LA |