Individual
ANDRE JOSEPH GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
108 ELLINGTON DR, THIBODAUX, LA 70301-8045
(985) 637-1004
(985) 369-4568
Mailing address
108 ELLINGTON DR, THIBODAUX, LA 70301-8045
(985) 637-1004
(985) 369-4568
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Z11343
LA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
Z11343
LA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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