Organization
DELTA REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY NACOLE JORDAN OTD, MSOT, OTR/L (CEO/OCCUPATIONAL THERAPIST)
(334) 392-9214
Entity
Organization
Contact information
Practice address
7956 VAUGHN RD STE 202, MONTGOMERY, AL 36116-6625
(334) 392-9214
Mailing address
7956 VAUGHN RD STE 202, MONTGOMERY, AL 36116-6625
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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