Organization
ALLIANCE REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DAVID LOWE JR. RPT (PHYSICAL THERAPIST/PRESIDENT)
(662) 397-8416
Entity
Organization
Contact information
Practice address
109 HIGHWAY 15 S, PONTOTOC, MS 38863-2628
(662) 397-8416
(662) 509-9935
Mailing address
109 HIGHWAY 15 S, PONTOTOC, MS 38863-2628
(662) 397-8416
(662) 509-9935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1493
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07705342
—
MS
01
—
1619033453
INDIVIDUAL NPI
MS
Enumeration date
05/05/2008
Last updated
08/06/2008
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