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Male or Other

Trent M. Andre

Physical Therapist in Shreveport, LA(View on Map)

Full Name

Trent Matthew Andre

NPI Number

1053966192

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/06/2019

Specialties

(Taxonomies)

Name

Physical Therapist

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

10255

Contact
Information

Purpose

Mailing
Location

Address

460 ASHLEY RIDGE BLVD STE 800
460 ASHLEY RIDGE BLVD STE 800

City

Shreveport
Shreveport

State

LA
LA

Postal Code

71106-7238
71106-7238

Country

US
US

Telephone Number

(318) 868-6172
(318) 868-6172

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/06/2019

Provider Address

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