Provider Demographics
NPI:1063719268
Name:WELLONS, RACHEL DINA (PT, DPT, NCS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:DINA
Last Name:WELLONS
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:DINA
Other - Last Name:TROMMELEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, NCS
Mailing Address - Street 1:1900 GRAVIER ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2262
Mailing Address - Country:US
Mailing Address - Phone:504-568-4042
Mailing Address - Fax:504-568-6552
Practice Address - Street 1:1900 GRAVIER ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2262
Practice Address - Country:US
Practice Address - Phone:504-568-4042
Practice Address - Fax:504-568-6552
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07997R2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology