Organization
BRADEN GUIDRY, PT, LLC
Active
Organization
BRADEN GUIDRY, PT, LLC
Active
Other names
Church Point Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADEN KEITH GUIDRY PT/DPT (OWNER)
(337) 684-0070
Entity
Organization
Contact information
Practice address
221 S MAIN ST, CHURCH POINT, LA 70525-3115
(337) 684-0070
(337) 684-0146
Mailing address
107 PONTCHARTRAIN DR, CARENCRO, LA 70520-5271
(337) 684-0070
(337) 684-0146
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
08576
LA
Other
Enumeration date
09/19/2016
Last updated
10/10/2016
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