Healthcare Provider Details

I. General information

NPI: 1750294070
Provider Name (Legal Business Name): JULIANNE DEBLIEUX PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LOBDELL AVE STE B
BATON ROUGE LA
70806-8280
US

IV. Provider business mailing address

579 FLYCATCHER DR
BATON ROUGE LA
70810-7417
US

V. Phone/Fax

Practice location:
  • Phone: 985-860-1950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11813
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: