Organization
PREMIER REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS T HARRIS PT (OWNER)
(601) 636-6019
Entity
Organization
Contact information
Practice address
230 BEASLEY RD, JACKSON, MS 39206-2944
(601) 636-6019
(601) 664-8457
Mailing address
1054 HIGHLAND COVE PL, RIDGELAND, MS 39157-1523
(601) 636-6019
(601) 661-8457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3192
MS
225100000X
Physical Therapist
Primary
PT3573
MS
225X00000X
Occupational Therapist
OT2017
MS
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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