NPI 1659640373 · live from the CMS NPI Registry
Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82
Physical Therapist in Zachary, LA. National Provider Identifier 1659640373, active.
NPI record
| NPI | 1659640373 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4845 Main St, Suite C, Zachary, LA 70791 |
| Practice phone | 225-286-0181 |
| Mailing address | 4314 S Sherwood Forest Blvd Ste A150, Baton Rouge, LA 70816 |
| Enumerated | December 27, 2011 |
| Last updated | November 1, 2023 |
| Authorized official | Cristina Faucheux, Vice President |
| Other names | Moreau Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.