Individual
BREIGH B CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1100 LEMAIRE ST, NEW IBERIA, LA 70560-4811
(337) 365-2343
Mailing address
1100 LEMAIRE ST, NEW IBERIA, LA 70560-4811
(337) 365-2343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08089
LA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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