MEDICARE: MOREAU PHYSICAL THERAPY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1023271491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOREAU PHYSICAL THERAPY INC.

Provider Business Mailing Address
First Line	:	4324 S SHERWOOD FOREST BLVD STE B170
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4481
Country	:	US
Telephone Number	:	225-654-8208
Fax Number	:	225-654-4642

Provider Business Practice Location Address
First Line	:	4845 MAIN ST STE B
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-3943
Country	:	US
Telephone Number	:	225-654-8208
Fax Number	:	225-654-4642

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CRISTINA M FAUCHUEX
Credential	:	PT
Telephone Number	:	225-654-8208

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	03/26/2025

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Directions to “MOREAU PHYSICAL THERAPY INC. ” Practice Location

Language	Start Address	Practice Location

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