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Organization
OCONEE REHABILITATION SERVICES INC
Active
Organization
OCONEE REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ANDREWS BENTON PT (PRESIDENT)
(706) 444-9200
Entity
Organization
Contact information
Practice address
446 SPRING STREET, SPARTA, GA 31087
(706) 444-9200
(706) 444-9201
Mailing address
PO BOX 454, SPARTA, GA 31087
(706) 444-9200
(706) 444-9201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000325212B
—
GA
01
—
116562
MEDICARE PROVIDER
—
Enumeration date
10/12/2006
Last updated
06/18/2008
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