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Covenant Health & Rehab Of Vicksburg, LLC

Occupational Therapist in Vicksburg, MS. Organization (NPI-2).

NPI number1073842829
StatusActive
Last updated in NPPESApr 12, 2012

Details

NPI
1073842829
Entity type
Organization (NPI-2)
Legal business name
Covenant Health & Rehab Of Vicksburg, LLC
Organization subpart
Yes
Enumeration date
Dec 8, 2009
Last updated
Apr 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes
225100000X Physical Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

2850 Porters Chapel Rd
Vicksburg, MS 39180-1805

Phone 601-638-9211 · Fax 601-636-4986

Mailing address

2850 Porters Chapel Rd
Vicksburg, MS 39180-1805

Phone 601-638-9211 · Fax 601-636-4986

Authorized official

Christopher J Murphy
Vice President
9019377994

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