Male or Other

Dr. Blake M. Barbera PT, DPT

Physical Therapist in Thibodaux, LA(View on Map)

Full Name

Dr. Blake M Barbera PT, DPT

NPI Number

1285906396

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/04/2012

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Florida
Louisiana

License Number

27121
09411

Contact
Information

Purpose

Mailing
Location

Address

139 LAKE HOWARD AVE
1410 TIGER DR STE 101

City

Thibodaux
Thibodaux

State

LA
LA

Postal Code

70301-1627
70301-4337

Country

US
US

Telephone Number

(985) 665-6672
(985) 665-6672

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2023

Provider Address

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