Individual
MS. JANE ELIZABETH TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1601 SHORTCUT HWY, SUITE B, SLIDELL, LA 70458-8047
(985) 641-3818
(985) 641-3891
Mailing address
1601 SHORTCUT HWY, SUITE B, SLIDELL, LA 70458-8047
(985) 641-3818
(985) 641-3891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1975G
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1975G
STATE LICENSE
LA
Enumeration date
08/30/2006
Last updated
07/08/2007
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