Organization
DYNAMIC REHABILITATION SERVICES LLC
Active
Other names
NEOLIFE PT AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RAY ELLIS DPT (PHYSICAL THERAPIST/OWNER)
(228) 326-1115
Entity
Organization
Contact information
Practice address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
Mailing address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
(228) 280-8121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5070
MS
Other
Enumeration date
05/06/2015
Last updated
07/05/2023
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