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Individual

MISS ASHLEY ALAINE TRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
86 LYNN DR, SANTA ROSA BEACH, FL 32459-4200
(850) 267-9010
(850) 267-0677
Mailing address
86 LYNN DR, SANTA ROSA BEACH, FL 32459-4200
(504) 315-8232

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
07967
LA
225100000X
Physical Therapist
Primary
PT27382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GG466Z
MEDICARE
FL
Enumeration date
11/30/2010
Last updated
06/24/2014
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