Provider Demographics
NPI:1689378218
Name:TROULLIET, REBECCA L SCHNADELBACH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L SCHNADELBACH
Last Name:TROULLIET
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:LYNN
Other - Last Name:SCHNADELBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 BRISTLE PINE DR
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-9442
Mailing Address - Country:US
Mailing Address - Phone:985-351-9352
Mailing Address - Fax:
Practice Address - Street 1:337 BRISTLE PINE DR
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-9442
Practice Address - Country:US
Practice Address - Phone:985-351-9352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA096632251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports