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1245744929
TRENT MATTHEW BRASSEAUX
LAFAYETTE, LA
NPI
1245744929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09617)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
TRENT MATTHEW BRASSEAUX PT, DPT
233 DOUCET RD STE B2
LAFAYETTE, LA 70503-3403
Phone number: 337-991-9972
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Mailing Address
TRENT MATTHEW BRASSEAUX PT, DPT
937 MARILYN DR
LAFAYETTE, LA 70503-4031
Phone number: 337-349-9400
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