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Individual

ANNE BOURGEOIS ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
808 BAYOU LN, THIBODAUX, LA 70301-4906
(985) 447-3164
Mailing address
512 BRANDYWINE BLVD, THIBODAUX, LA 70301-6833
(985) 414-3801

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08059
LA

Other

Enumeration date
07/18/2012
Last updated
09/26/2014
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