Healthcare Provider Details

I. General information

NPI: 1710005194
Provider Name (Legal Business Name): REHAB XCEL - NEW IBERIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 N LEWIS ST
NEW IBERIA LA
70563-2841
US

IV. Provider business mailing address

228 N LEWIS ST
NEW IBERIA LA
70563-2841
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-7496
  • Fax: 337-364-7499
Mailing address:
  • Phone: 337-364-7496
  • Fax: 337-364-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CLAUDE J TREMBLAY
Title or Position: OWNER
Credential: P.T., D.P.T.
Phone: 337-364-7496