Organization
ADVANCED REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN CASCIO (OFFICE MANAGER)
(662) 455-5010
Entity
Organization
Contact information
Practice address
702 HIGHWAY 82 WEST, STE B, GREENWOOD, MS 38930
(662) 455-5010
(662) 455-5468
Mailing address
702 HIGHWAY 82 WEST, STE B, GREENWOOD, MS 38930
(662) 455-5010
(662) 455-5468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06528800
—
MS
Enumeration date
10/04/2005
Last updated
02/19/2015
Update your record
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