Organization
GLENN D MANCEAUX PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN D MANCEAUX P.T. (PHYSICAL THERAPIST)
(985) 868-3136
Entity
Organization
Contact information
Practice address
6902 W. MAIN ST, HOUMA, LA 70360
(985) 868-3136
Mailing address
200 PENDLETON, HOUMA, LA 70360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0334
LA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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