Individual
JACI TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13303 LA HWY 89, ERATH, LA 70533-5462
(337) 577-1060
Mailing address
PO BOX 123, DELCAMBRE, LA 70528-0123
(337) 577-1060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
310450
LA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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