Trevor Paul Boudreaux, MD Valid NPI

Individual provider · Physical Medicine & Rehabilitation Physician · Thibodaux, LA

NPI

1396286605

Type

Individual (Type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208100000X

License number

313125 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2017-03-20

Last updated

2021-08-16