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NPI Code Detail

MEDICARE: CENTURY REHABILITATION OF TEXAS LLC

MEDICARE: CENTURY REHABILITATION OF TEXAS 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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3261QR0400XRehabilitation Clinic/Center
4225100000XPhysical Therapist

General Provider Information

NPI Number : 1093308967
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY REHABILITATION OF TEXAS LLC
Provider Business Mailing Address
First Line : 4703 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4703 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9635
Country : US
Telephone Number : 225-761-2222
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : RICHARD PELLERIN
Credential :
Telephone Number : 225-761-2222
Provider Enumeration Date : 02/11/2021
Last Update Date : 06/20/2022

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Directions to “CENTURY REHABILITATION OF TEXAS LLC ” Practice Location

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