| Doctor Name: | MRS. THERESA BOUQUET BECNEL |
| NPI Number: | 1073608311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 00386 |
| Business Practice Address: | 116 Twin Oaks Dr Raceland, LA - 703942760 |
| Business Phone Number: | 9855377012 |
| Business Fax Number: | 9855374145 |
| Mailing Address: | 174 Lake Mechant Ct, HOUMA |
| State: | LA |
| Postal Code: | 703608325 |
| Phone Number: | 9858515365 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 00386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |