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Organization
MACON REHABILITATION SERVICES, LLC
Active
Organization
MACON REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BOND (OWNER/MANAGER)
(660) 385-6244
Entity
Organization
Contact information
Practice address
106 BUTLER ST, SUITE C, MACON, MO 63552-1629
(660) 385-6244
(660) 385-4821
Mailing address
106 BUTLER ST, SUITE C, MACON, MO 63552-1629
(660) 385-6244
(660) 385-4821
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20010108647
MO
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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