| Brandon Kyle Robichaux, | |
|
4 Edgewood Dr, Destrehan, LA 70047-3202 | |
| (504) 559-7054 | |
| Not Available |
| Full Name | Brandon Kyle Robichaux |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4 Edgewood Dr, Destrehan, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750144929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Kyle Robichaux, 4 Edgewood Dr, Destrehan, LA 70047-3202 Ph: (504) 559-7054 | Brandon Kyle Robichaux, 4 Edgewood Dr, Destrehan, LA 70047-3202 Ph: (504) 559-7054 |
Wesley Malcolm Juneau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12627 Airline Hwy Ste A, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Cody Migliore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Bryce James Hargis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Plantation Rd, Destrehan, LA 70047 Phone: 985-235-5400 Fax: 985-235-5401 | |
Patrick Lawrence Childress, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
William James Smith, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Dr. Dominique Player, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 Panther Run, Destrehan, LA 70047 Phone: 504-913-9562 |