MEDICARE: GUIDRY REHABILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1770574592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDRY REHABILITATION LLC

Provider Business Mailing Address
First Line	:	201 WOODLAND DRIVE
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-3442
Country	:	US
Telephone Number	:	337-234-7018
Fax Number	:	337-232-3891

Provider Business Practice Location Address
First Line	:	201 WOODLAND DRIVE
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-3442
Country	:	US
Telephone Number	:	337-234-7018
Fax Number	:	337-232-3891

Authorized Official
Title or Position	:	CO-OWNER/OCCUPATIONAL THERAPIST
Name	:	MR. GARY ANTHONY GUIDRY
Credential	:	OTR, CHT
Telephone Number	:	337-654-2828

Provider Enumeration Date	:	11/01/2005
Last Update Date	:	06/08/2023

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Directions to “GUIDRY REHABILITATION LLC ” Practice Location

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