Individual
MR. JOHN L. DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
808 BAYOU LN, THIBODAUX, LA 70301-4906
(985) 447-3164
(985) 447-5196
Mailing address
606 FAIRWAY, THIBODAUX, LA 70301
(985) 447-3276
(985) 447-5196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01402
LA
Other
Enumeration date
02/10/2006
Last updated
04/11/2013
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