Individual
GRADY PATRICK GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 380-4465
(985) 380-4387
Mailing address
200 W BRENTWOOD BLVD UNIT 2, LAFAYETTE, LA 70506-6193
(337) 519-4555
(985) 380-4387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4580
LA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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