Individual
TRENT MATTHEW BRASSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
233 DOUCET RD STE B2, LAFAYETTE, LA 70503-3403
(337) 991-9972
Mailing address
937 MARILYN DR, LAFAYETTE, LA 70503-4031
(337) 349-9400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09617
LA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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