Individual
ABIGAIL RAE BROCKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 WARHAWK WAY, MONROE, LA 71209-2715
(318) 342-3565
Mailing address
609 BOND ST APT A14, RUSTON, LA 71270-4979
(218) 689-5016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
328489
LA
Other
Enumeration date
05/25/2021
Last updated
08/10/2023
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