Individual
TRENT MATTHEW ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 ASHLEY RIDGE BLVD STE 800, SHREVEPORT, LA 71106-7238
(318) 868-6172
Mailing address
460 ASHLEY RIDGE BLVD STE 800, SHREVEPORT, LA 71106-7238
(318) 868-6172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10255
LA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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