Brandon Kyle Robichaux, | |
4 Edgewood Dr, Destrehan, LA 70047-3202 | |
(504) 559-7054 | |
Not Available |
Full Name | Brandon Kyle Robichaux |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4 Edgewood Dr, Destrehan, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750144929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036 |
Mailing Address | Practice Location Address |
---|---|
Brandon Kyle Robichaux, 4 Edgewood Dr, Destrehan, LA 70047-3202 Ph: (504) 559-7054 | Brandon Kyle Robichaux, 4 Edgewood Dr, Destrehan, LA 70047-3202 Ph: (504) 559-7054 |
Wesley Malcolm Juneau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12627 Airline Hwy Ste A, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Cody Migliore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Jacob Lance Marino, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12627 Airline Hwy, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Patrick Lawrence Childress, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
William James Smith, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Physiofit - Destrehan, La Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12627 Airline Hwy Ste A, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 |