Organization
RIVER CITY REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA L ASHFORD (MANAGER)
(662) 335-8332
Entity
Organization
Contact information
Practice address
1707 SOUTH COLORADO, SUITE A, GREENVILLE, MS 38703
(662) 335-8332
(662) 335-8852
Mailing address
1707 SOUTH COLORADO, SUITE A, GREENVILLE, MS 38703
(662) 335-8332
(662) 335-8852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1045
MS
225X00000X
Occupational Therapist
OT0169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015486
—
MS
Enumeration date
08/23/2005
Last updated
07/07/2025
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