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Organization
TOTAL REHAB PLUS LLC
Active
Organization
TOTAL REHAB PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARIE VON ANTZ PT (PHYSICAL THERAPIST ADMINISTRATOR)
(228) 255-3533
Entity
Organization
Contact information
Practice address
4363 C LEISURETIME DR, DIAMONDHEAD, MS 39525
(228) 255-3533
(228) 255-3536
Mailing address
PO BOX 339, LONG BEACH, MS 39560
(228) 864-5568
(228) 864-4385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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