Organization
ADVANCE REHABILITATION AND CONSULTING
Active
Organization
ADVANCE REHABILITATION AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D SORRELLS (CREDENTIALING COORDINATOR)
(706) 236-2774
Entity
Organization
Contact information
Practice address
519 BROAD STREET, STE 300, ROME, GA 30161
(706) 802-1991
(706) 802-1408
Mailing address
PO BOX 949, ROME, GA 30162
(706) 802-1991
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/12/2005
Last updated
09/26/2011
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