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Organization

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Active
Other names
Thibodaux Regional Physical Medicine & Rehabilitation Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KIM LEGENDRE BOUDREAUX (CONTRACT MANAGER)
(985) 493-4907
Entity
Organization

Contact information

Practice address
726 N ACADIA RD STE 1700, THIBODAUX, LA 70301-5051
(985) 493-4980
(985) 493-4981
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4907
(985) 449-2528

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/03/2021
Last updated
09/06/2023
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