Individual
DONALD E TRAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
327 IBERIA ST, YOUNGSVILLE, LA 70592-5738
(337) 856-1717
(337) 856-1818
Mailing address
PO BOX 158, YOUNGSVILLE, LA 70592-0158
(337) 856-1717
(337) 856-1818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2966015
CIGNA
LA
01
—
650012867 E0303
RAILROAD MEDICARE
LA
01
—
70592 A003
CHAMPUS
LA
01
—
B4436
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
03/20/2006
Last updated
07/08/2007
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