# SENTRY REHAB, LLC

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

## Provider details

- **NPI number:** 1831634518
- **Authorized official:** SONJA SHARP WATKINS (CFO)
- **Authorized official phone:** (601) 824-9010

## Contact information

- **Practice address:** 106A OFFICE PARK DR, BRANDON, MS 39042-2404
- **Practice address phone:** (601) 824-9010
- **Practice address fax:** (601) 824-9044
- **Mailing address:** 106A OFFICE PARK DR, BRANDON, MS 39042-2404
- **Mailing address phone:** (601) 824-9010
- **Mailing address fax:** (601) 824-9044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 07/17/2019