# EXCEL REHABILITATION SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093088098
- **Authorized official:** MR. DAVID MIRANDA PT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (225) 644-0290

## Contact information

- **Practice address:** 2251 S BURNSIDE AVE, GONZALES, LA 70737-4642
- **Practice address phone:** (225) 644-0290
- **Practice address fax:** (225) 644-4201
- **Mailing address:** 2251 S BURNSIDE AVE, GONZALES, LA 70737-4642
- **Mailing address phone:** (225) 644-0290
- **Mailing address fax:** (225) 644-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 04493 | LA | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 07/31/2013