Organization
MOREAU PHYSICAL THERAPY INC.
Active
Other names
Moreau Physical Therapy, Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA E FAUCHUEUX PT (VICE PRESIDENT)
(225) 654-8208
Entity
Organization
Contact information
Practice address
16309 HIGHWAY 190, PORT BARRE, LA 70577
(337) 585-3780
(337) 585-3782
Mailing address
4324 S SHERWOOD FOREST BLVD STE B170, BATON ROUGE, LA 70816-4481
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C943
MEDICARE BILLING NUMBER
LA
Enumeration date
01/09/2008
Last updated
09/26/2024
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