Individual
MS. THERESE RENEE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
404 S EOLA RD, BROUSSARD, LA 70518-4004
(337) 252-6292
(337) 252-6293
Mailing address
404 S EOLA RD, BROUSSARD, LA 70518-4004
(337) 252-6292
(337) 252-6293
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
CRT.LT0132
LA
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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