Individual
DR. BLAKE M BARBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1410 TIGER DR STE 101, THIBODAUX, LA 70301-4337
(985) 665-6672
Mailing address
139 LAKE HOWARD AVE, THIBODAUX, LA 70301-1627
(985) 665-6672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09411
LA
225100000X
Physical Therapist
27121
FL
Other
Enumeration date
02/04/2012
Last updated
06/14/2023
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