# TRI CITY PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871543918
- **Authorized official:** MR. ANDRE GUERIN PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (337) 991-9972

## Contact information

- **Practice address:** 233 DOUCET RD, LAFAYETTE, LA 70503-3403
- **Practice address phone:** (337) 991-9972
- **Practice address fax:** (337) 991-9974
- **Mailing address:** PO BOX 80965, LAFAYETTE, LA 70598-0965
- **Mailing address phone:** (337) 991-9972
- **Mailing address fax:** (337) 991-9974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 07/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F6273 | BCBS OF LOUISIANA | LA |
