Rehab Technology, LLC
Physical Therapist in Southaven, MS. Organization (NPI-2).
NPI number1568815744
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1568815744
- Entity type
- Organization (NPI-2)
- Legal business name
- Rehab Technology, LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2016
- Last updated
- Aug 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | TA3236 | MS | Yes |
| 235Z00000X | Speech-Language Pathologist, | ST3991 | MS | |
| 225X00000X | Occupational Therapist | OT0732 | MS |
Practice location
1890 Goodman Rd ESouthaven, MS 38671-9504
Phone 662-269-0420 · Fax 662-589-6525
Mailing address
1890 Goodman Rd ESouthaven, MS 38671-9504
Phone 662-269-0420 · Fax 662-589-6525
Authorized official
Indrakshi Dubey
President
6622690420
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