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Individual

SCOTT W BOUDREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1700 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508-6186
(337) 534-8601
(337) 210-2098
Mailing address
PO BOX 52068, LAFAYETTE, LA 70505-2068
(337) 981-6464
(337) 981-6440

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2456024
LA
Enumeration date
06/29/2017
Last updated
10/05/2024
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