Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82

NPI #1639942584 in Carencro, Louisiana

Provider Information

NPI Number: 1639942584
Entity Type: Organization
Organization Name: Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2023
Last Updated: Nov 2, 2023

Practice Location

Address: 3730 NE EVANGELINE TRWY STE D
City: Carencro
State: Louisiana
ZIP Code: 70520-5984
Phone: (337) 469-3003

Authorized Official

Name: CRISTINA M FAUCHEUX, PT
Title: VICE PRESIDENT
Phone: (225) 654-8208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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