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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