# REHAB IN MOTION, LLC

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

## Provider details

- **NPI number:** 1780908475
- **Authorized official:** DARON WALTERS (MANAGER)
- **Authorized official phone:** (601) 573-9712

## Contact information

- **Practice address:** 110 LAKE RIDGE DR, MADISON, MS 39110-8291
- **Practice address phone:** (601) 898-8111
- **Mailing address:** 110 LAKE RIDGE DR, MADISON, MS 39110-8291
- **Mailing address phone:** (601) 898-8111

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 12/11/2013