Organization
ORTHOPEDIC REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BICKER (ADMINISTRATOR)
(601) 425-2363
Entity
Organization
Contact information
Practice address
2015 HIGHWAY 15 N, SUITE A, LAUREL, MS 39440-1838
(601) 425-2363
(601) 425-3201
Mailing address
2015 HIGHWAY 15 N, SUITE A, LAUREL, MS 39440-1838
(601) 425-2363
(601) 425-3201
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/18/2007
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