# REHAB TECHNOLOGY, LLC

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

## Provider details

- **NPI number:** 1568815744
- **Authorized official:** INDRAKSHI DUBEY OTR/L (PRESIDENT)
- **Authorized official phone:** (662) 269-0420

## Contact information

- **Practice address:** 1890 GOODMAN RD E, SOUTHAVEN, MS 38671-9504
- **Practice address phone:** (662) 269-0420
- **Practice address fax:** (662) 589-6525
- **Mailing address:** 1890 GOODMAN RD E, SOUTHAVEN, MS 38671-9504
- **Mailing address phone:** (662) 269-0420
- **Mailing address fax:** (662) 589-6525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | TA3236 | MS | Yes |
| 225X00000X | Occupational Therapist | OT0732 | MS | — |
| 235Z00000X | Speech-Language Pathologist | ST3991 | MS | — |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 08/31/2016