Healthcare Provider Details

I. General information

NPI: 1982809752
Provider Name (Legal Business Name): DR. FLORENCE THILLET-BICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 HIGHWAY 154
RINGGOLD LA
71068-3101
US

IV. Provider business mailing address

PO BOX 53
RINGGOLD LA
71068-0053
US

V. Phone/Fax

Practice location:
  • Phone: 318-347-1701
  • Fax:
Mailing address:
  • Phone: 318-347-1701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number04187R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: