NPI 1639942584 · live from the CMS NPI Registry
Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82
Physical Therapist in Carencro, LA. National Provider Identifier 1639942584, active.
NPI record
| NPI | 1639942584 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3730 Ne Evangeline Trwy Ste D, Carencro, LA 70520 |
| Practice phone | 337-469-3003 |
| Mailing address | 4314 S Sherwood Forest Blvd Ste A150, Baton Rouge, LA 70816 |
| Enumerated | November 2, 2023 |
| Last updated | November 2, 2023 |
| Authorized official | Cristina Faucheux, Vice President |
| Other names | Moreau Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.