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NPI Code Detail

MEDICARE: ROXANNE TOUCHET PT

MEDICARE: ROXANNE TOUCHET PT
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
1225100000XPhysical Therapist1226LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2650015775 E0303OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12966015OTHERLACIGNA
3B4436OTHERLABLUE CROSS/BLUE SHIELD
470506 A002OTHERLACHAMPUS

General Provider Information

NPI Number : 1578532743
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE TOUCHET PT
Provider Business Mailing Address
First Line : 2115 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-2652
Country : US
Telephone Number : 337-981-9182
Fax Number : 337-988-3441
Provider Business Practice Location Address
First Line : 2115 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-2652
Country : US
Telephone Number : 337-981-9182
Fax Number : 337-988-3441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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Directions to “ ROXANNE TOUCHET PT” Practice Location

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