Organization
EXCEL REHABILITATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUSTY G BECKER OTR/L (CEO)
(334) 532-0220
Entity
Organization
Contact information
Practice address
2125 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 532-0220
(334) 532-0221
Mailing address
399 MOUNTAIN RIDGE RD, MILLBROOK, AL 36054-2128
(334) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2334
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524863
BCBS PRO NUMBER
AL
05
—
529926860
—
AL
Enumeration date
10/13/2006
Last updated
12/28/2012
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