Organization
ORLEANS PARK REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID IAN WEISS MD (MEMBER)
(601) 450-1370
Entity
Organization
Contact information
Practice address
15 ORLEANS DRIVE, HATTIESBURG, MS 39402
(601) 450-1370
(601) 450-1371
Mailing address
15 ORLEANS DRIVE, HATTIESBURG, MS 39402
(601) 450-1370
(601) 450-1371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03277867
—
MS
01
—
C04508
MEDICARE
MS
01
—
DG3476
RAILROAD MEDICARE
MS
Enumeration date
02/20/2007
Last updated
04/22/2008
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