# MOREAU PHYSICAL THERAPY INC.

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

## Provider details

- **NPI number:** 1770568669
- **Authorized official:** CRISTINA M FAUCHEUX PT (VICE PRESIDENT)
- **Authorized official phone:** (225) 654-8208

## Contact information

- **Practice address:** 4314 S SHERWOOD FOREST BLVD STE A150, BATON ROUGE, LA 70816-4458
- **Practice address phone:** (225) 654-8208
- **Practice address fax:** (225) 465-8823
- **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 |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 07/08/2026

## Other identifiers

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