Individual
MRS. VIRGINIA BROUSSARD FALGOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
107 WHITEBARK DR, LAFAYETTE, LA 70508-6352
(337) 251-3461
Mailing address
107 WHITEBARK DR, LAFAYETTE, LA 70508-6352
(337) 251-3461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07257R
LA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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