Individual
DR. GLENN D. MANCEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.C., C.C.S.P.
Contact information
Practice address
6902 W MAIN ST, HOUMA, LA 70360-2455
(985) 868-3136
(985) 868-4040
Mailing address
6902 W MAIN ST, HOUMA, LA 70360-2455
(985) 868-3136
(985) 868-4040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
635
LA
225100000X
Physical Therapist
00334
LA
Other
Enumeration date
05/09/2006
Last updated
05/01/2014
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