Organization Name: | EXCEL REHABILITATION SERVICES, LLC |
NPI Number: | 1093088098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MIRANDA (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 2251 S Burnside Ave Gonzales |
State: | LA US |
Postal Code: | 707374642 |
Phone Number: | 2256440290 |
Fax Number: | 2256444201 |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 04493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |