Organization
HOUMA-THIBODAUX SPINE AND REHABILITATION LLC
Active
Other names
Thibodaux Injury & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEAU I. PORCHE DC (OWNER)
(985) 873-8586
Entity
Organization
Contact information
Practice address
430 CORPORATE DR., HOUMA, LA 70360
(985) 873-8586
(985) 873-8565
Mailing address
430 CORPORATE DR., HOUMA, LA 70360
(985) 873-8586
(985) 873-8565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1380
LA
111NR0400X
Rehabilitation Chiropractor
1380
LA
Other
Enumeration date
12/20/2006
Last updated
04/12/2016
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