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Organization
ALLY THERAPY SPECIALISTS, LLC
Active
Organization
ALLY THERAPY SPECIALISTS, LLC
Active
Other names
Ally Therapy Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN MOORE (MANAGER)
(662) 288-1170
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SENATOBIA, MS 38668-2115
(662) 288-1170
Mailing address
PO BOX 22, SENATOBIA, MS 38668-0022
(662) 288-1170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OT2229
MS
Other
Enumeration date
01/30/2017
Last updated
04/12/2023
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