# ALLIANCE REHABILITATION, INC

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

## Provider details

- **NPI number:** 1326214701
- **Authorized official:** MR. CHARLES DAVID LOWE JR. RPT (PHYSICAL THERAPIST/PRESIDENT)
- **Authorized official phone:** (662) 397-8416

## Contact information

- **Practice address:** 109 HIGHWAY 15 S, PONTOTOC, MS 38863-2628
- **Practice address phone:** (662) 397-8416
- **Practice address fax:** (662) 509-9935
- **Mailing address:** 109 HIGHWAY 15 S, PONTOTOC, MS 38863-2628
- **Mailing address phone:** (662) 397-8416
- **Mailing address fax:** (662) 509-9935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT 1493 | MS | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 08/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07705342 | — | MS |
| 01 | — | 1619033453 | INDIVIDUAL NPI | MS |