Individual
LINDA THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 US HIGHWAY 69 N, LUFKIN, TX 75904-1060
(936) 899-7235
(936) 899-7237
Mailing address
169 SCENIC WAY, ETOILE, TX 75944-7662
(936) 404-0843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070212
TX
Other
Enumeration date
04/24/2009
Last updated
03/17/2020
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