Individual
MS. KRISTY TROSCLAIR BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
478 CORPORATE DR, HOUMA, LA 70360-2461
(985) 872-5911
(985) 872-6155
Mailing address
209 CANE BREAK DR, THIBODAUX, LA 70301-3981
(985) 872-5911
(985) 872-6155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07272
LA
Other
Enumeration date
11/09/2007
Last updated
04/13/2015
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