Organization
ADVANCE PHYSCIAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM TROSCLAIR (BILLING MANAGER)
(985) 447-7905
Entity
Organization
Contact information
Practice address
508 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-5888
Mailing address
PO BOX 676, THIBODAUX, LA 70302-0676
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
LA
Other
Enumeration date
05/01/2007
Last updated
11/01/2007
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