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1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 | |
| (985) 449-0944 | |
| (985) 449-0945 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1713 Ridgefield Rd Ste C, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922162866 | NPI | - | NPPES |
| H4164 | Other | LA | BCBSLA PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | Z12274 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 Ph: (985) 449-0944 | 1713 Ridgefield Rd Ste C, Thibodaux, LA 70301-4399 Ph: (985) 449-0944 |
Michele Glaze, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 904 Highway 20, Thibodaux, LA 70301 Phone: 985-414-1015 | |
Claire Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 507-a St. Mary Street, Thibodaux, LA 70301 Phone: 985-387-1919 | |
Jillian B Lee, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301 Phone: 985-625-2200 | |
Mrs. Abby Gros Dufrene, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 3185, Thibodaux, LA 70301 Phone: 985-449-0944 Fax: 985-449-0945 | |
Brittany Bernard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1054 Canal Blvd, Thibodaux, LA 70301 Phone: 985-665-7575 | |
Mrs. Lacey C Richard, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 3185, Thibodaux, LA 70301 Phone: 985-449-0944 Fax: 985-449-0945 | |
Jennifer Thompson, MS, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 3185, Thibodaux, LA 70301 Phone: 985-449-0944 Fax: 985-449-0945 |