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Organization

EXCEL REHABILITATION SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID MIRANDA PT (OWNER, PHYSICAL THERAPIST)
(225) 644-0290
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04493
LA

Other

Enumeration date
02/22/2012
Last updated
07/31/2013
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