Individual
JUDY THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
(601) 250-6859
Mailing address
4117 WOODWAY DR, MONROE, LA 71201-2218
(601) 250-4815
(601) 250-6859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA04079R
LA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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