Individual
TARA ASHLEY ROSSIGNOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65080 ANN ST, PEARL RIVER, LA 70452-5108
(985) 640-5077
Mailing address
65080 ANN ST, PEARL RIVER, LA 70452-5108
(985) 640-5077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
331226
LA
Other
Enumeration date
02/11/2020
Last updated
10/06/2022
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