Provider Demographics
NPI:1891410114
Name:FREEMAN, TROYANN
Entity Type:Individual
Prefix:
First Name:TROYANN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16478 NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6809
Mailing Address - Country:US
Mailing Address - Phone:225-288-4473
Mailing Address - Fax:
Practice Address - Street 1:8220 GOODWOOD BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7741
Practice Address - Country:US
Practice Address - Phone:225-288-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management