Healthcare Provider Details

I. General information

NPI: 1699719054
Provider Name (Legal Business Name): THIBODEAUX, ALBRO & TOUCHET THERAPY GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 ELTON RD SUITE I
JENNINGS LA
70546-4138
US

IV. Provider business mailing address

1322 ELTON RD SUITE I
JENNINGS LA
70546-4138
US

V. Phone/Fax

Practice location:
  • Phone: 337-824-5488
  • Fax: 337-824-5494
Mailing address:
  • Phone: 337-824-5488
  • Fax: 337-824-5494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: PAULA O ROY
Title or Position: OFFICE MANAGER
Credential: CPC
Phone: 337-616-8099