MR. Brent David Boudreaux, ATC

NPI #1548477573 in Duson, Louisiana

Provider Information

NPI Number
1548477573
Entity Type
Individual
Name
MR. Brent David Boudreaux, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
May 17, 2007
Last Updated
Jan 10, 2021

Practice Location

Address
104 DENETTE DR
City
Duson
ZIP Code
70529-3750
Phone
(337) 344-3400

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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