# ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moreau Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639942584
- **Authorized official:** CRISTINA M FAUCHEUX PT (VICE PRESIDENT)
- **Authorized official phone:** (225) 654-8208

## Contact information

- **Practice address:** 3730 NE EVANGELINE TRWY STE D, CARENCRO, LA 70520-5984
- **Practice address phone:** (337) 469-3003
- **Practice address fax:** (337) 485-5901
- **Mailing address:** 4314 S SHERWOOD FOREST BLVD STE A150, BATON ROUGE, LA 70816-4458
- **Mailing address phone:** (225) 654-8208
- **Mailing address fax:** (225) 465-8823

## 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:** 11/02/2023