MEDICARE: REHAB XCEL - NEW IBERIA

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

General Provider Information

NPI Number	:	1710005194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB XCEL - NEW IBERIA

Provider Business Mailing Address
First Line	:	228 N LEWIS ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2841
Country	:	US
Telephone Number	:	337-364-7496
Fax Number	:	337-364-7499

Provider Business Practice Location Address
First Line	:	228 N LEWIS ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2841
Country	:	US
Telephone Number	:	337-364-7496
Fax Number	:	337-364-7499

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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