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Organization
ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82
Active
Organization
ALVIN C MOREAU JR LICENSED PHYSICAL THERAPIST DTD 01 15 82
Active
Other names
Moreau Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA E FAUCHEUX PT (VICE PRESIDENT)
(225) 654-8208
Entity
Organization
Contact information
Practice address
18303 PERKINS RD E STE 407, BATON ROUGE, LA 70810-3300
(225) 751-8512
(225) 751-8514
Mailing address
17301 JEFFERSON HWY, SUITE 3, BATON ROUGE, LA 70817-6972
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04423
LA
225X00000X
Occupational Therapist
OTT.Z11046
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C943
MEDICARE BILLING NUMBER
LA
Enumeration date
01/05/2008
Last updated
10/31/2023
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