Individual
BRADEN GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
311 POLLY LN, LAFAYETTE, LA 70508-4960
(337) 261-9100
(337) 261-9700
Mailing address
311 POLLY LN, LAFAYETTE, LA 70508-4960
(337) 261-9100
(337) 261-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08576
LA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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