Individual
CELIA MARIE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6700
(337) 261-6660
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03668
LA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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