Organization
TRI CITY PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE GUERIN PT (OWNER/PHYSICAL THERAPIST)
(337) 991-9972
Entity
Organization
Contact information
Practice address
233 DOUCET RD, LAFAYETTE, LA 70503-3403
(337) 991-9972
(337) 991-9974
Mailing address
PO BOX 80965, LAFAYETTE, LA 70598-0965
(337) 991-9972
(337) 991-9974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6273
BCBS OF LOUISIANA
LA
Enumeration date
05/11/2006
Last updated
07/11/2008
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