# REHABILITATION SERVICES OF CLEVELAND, INC.

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

## Provider details

- **NPI number:** 1710039656
- **Authorized official:** MRS. ANN H. HERRICK (BILLING)
- **Authorized official phone:** (662) 843-3004

## Contact information

- **Practice address:** 712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
- **Practice address phone:** (662) 843-3004
- **Practice address fax:** (662) 843-0820
- **Mailing address:** 712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
- **Mailing address phone:** (662) 843-3004
- **Mailing address fax:** (662) 843-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT1494 | MS | Yes |
| 225X00000X | Occupational Therapist | OT0355 | MS | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 11/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00117850 | — | MS |
| 05 | — | 00117948 | — | MS |