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Individual

RICHARD E BAUDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
Mailing address
220 HOLLYWOOD DR, METAIRIE, LA 70005-3920
(504) 833-4240

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1858
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5X686BD21
MEDICARE PTAN
LA
Enumeration date
06/08/2006
Last updated
03/12/2008
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