MEDICARE: CLAIRE ANDRIES LANDRY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11830	LA

General Provider Information

NPI Number	:	1316801608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE ANDRIES LANDRY

Provider Business Mailing Address
First Line	:	1100 BERTRAND DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4110
Country	:	US
Telephone Number	:	337-261-8530
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 BERTRAND DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4110
Country	:	US
Telephone Number	:	337-261-8530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ CLAIRE ANDRIES LANDRY ” Practice Location

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