Organization
KEY REHAB ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SMILO MS,CCC-SLP (PRESIDENT)
(601) 445-0005
Entity
Organization
Contact information
Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Mailing address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015004
—
MS
05
—
1431281
—
LA
Enumeration date
12/06/2006
Last updated
09/23/2021
Update your record
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