Individual
MRS. JANICE MYRIAM THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10 PUTNAM AVE, ORANGE, TX 77630-2328
(409) 886-3113
Mailing address
10 PUTNAM AVE, ORANGE, TX 77630-2328
(409) 886-3113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2034098
TX
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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