Individual
JAMES VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
405 CEDAR TREE DR, THIBODAUX, LA 70301-5728
(985) 384-1999
Mailing address
405 CEDAR TREE DR, THIBODAUX, LA 70301-5728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09002
LA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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