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

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750566071
- **Authorized official:** MRS. CRISTINA E FAUCHEUX PT (VICE PRESIDENT)
- **Authorized official phone:** (225) 654-8208

## Contact information

- **Practice address:** 18303 PERKINS RD E STE 407, BATON ROUGE, LA 70810-3300
- **Practice address phone:** (225) 751-8512
- **Practice address fax:** (225) 751-8514
- **Mailing address:** 17301 JEFFERSON HWY, SUITE 3, BATON ROUGE, LA 70817-6972
- **Mailing address phone:** (225) 654-8208
- **Mailing address fax:** (225) 654-4642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 04423 | LA | Yes |
| 225X00000X | Occupational Therapist | OTT.Z11046 | LA | — |

## Other

- **Enumeration date:** 01/05/2008
- **Last updated:** 10/31/2023

## Other identifiers

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