Organization
THE PHYSICAL MEDICINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM A THIBODEAUX (ADMINISTRATOR)
(337) 233-5230
Entity
Organization
Contact information
Practice address
401 N COLLEGE RD, STE. #3 & 4, LAFAYETTE, LA 70506-4263
(337) 233-5230
(337) 233-5270
Mailing address
PO BOX 62674, LAFAYETTE, LA 70596-2674
(337) 233-5230
(337) 233-5270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
05/28/2008
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