# DELTA REHAB SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245720002
- **Authorized official:** DR. KIMBERLY NACOLE JORDAN OTD, MSOT, OTR/L (CEO/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (334) 392-9214

## Contact information

- **Practice address:** 7956 VAUGHN RD STE 202, MONTGOMERY, AL 36116-6625
- **Practice address phone:** (334) 392-9214
- **Mailing address:** 7956 VAUGHN RD STE 202, MONTGOMERY, AL 36116-6625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2018
- **Last updated:** 05/16/2018