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NPI 1831444587 · live from the CMS NPI Registry

Anne Bourgeois Allen, D.P.T.

Physical Therapist in Thibodaux, LA. National Provider Identifier 1831444587, active.

NPI record

NPI1831444587 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location808 Bayou Ln, Thibodaux, LA 70301
Practice phone985-447-3164
Mailing address512 Brandywine Blvd, Thibodaux, LA 70301
EnumeratedJuly 18, 2012
Last updatedSeptember 26, 2014
Sole proprietorNo
Other namesAnne Bourgeois

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist primary225100000X08059 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.