Individual
TREVOR D. BARDARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., OCS
Contact information
Practice address
478 CORPORATE DR., HOUMA, LA 70360-2461
(985) 872-5911
(985) 872-6155
Mailing address
478 CORPORATE DR., HOUMA, LA 70360-2461
(985) 872-5911
(985) 872-6155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03384F
LA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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