Doctor Name: | DR. GLENN D. MANCEAUX |
NPI Number: | 1972552743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., D.C., C.C.S.P. |
License Number: | 00334 |
Business Practice Address: | 6902 W Main St Houma, LA - 703602455 |
Business Phone Number: | 9858683136 |
Business Fax Number: | 9858684040 |
Mailing Address: | 6902 W Main St, HOUMA |
State: | LA |
Postal Code: | 703602455 |
Phone Number: | 9858683136 |
Fax Number: | 9858684040 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00334 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |