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Organization
VIP REHAB, INC
Active
Organization
VIP REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY MARK WINSTEAD OTR/L (OWNER/THERAPIST)
(601) 650-9111
Entity
Organization
Contact information
Practice address
1058 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 650-9111
(601) 650-1972
Mailing address
1058 HOLLAND AVE, PHILADELPHIA, MS 39350-1058
(601) 650-9111
(601) 650-1972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT0751
MS
225X00000X
Occupational Therapist
Primary
OT0928
MS
Other
Enumeration date
10/12/2006
Last updated
11/02/2010
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