Individual
MRS. TONYA CAMPBELL TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
290 BOWIE RD, THIBODAUX, LA 70301-6712
(985) 493-4782
(985) 449-2548
Mailing address
290 BOWIE RD, THIBODAUX, LA 70301-6712
(985) 493-4782
(985) 449-2548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04134
LA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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