Individual
MR. BLAKE ANTHONY ROBICHAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO,BOCO
Contact information
Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 553-5835
(504) 553-5832
Mailing address
1601 PERDIDO ST, P.O. BOX 61011, NEW ORLEANS, LA 70112-1262
(504) 553-5835
(504) 553-5832
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
NONE
LA
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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