Organization
SUNFLOWER REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY ALAN COOPER MOT, OTR/L (PARTNER)
(662) 417-5815
Entity
Organization
Contact information
Practice address
110 S COURT ST, CLEVELAND, MS 38732-2650
(662) 402-1644
Mailing address
PO BOX 901, CLEVELAND, MS 38732-0901
(662) 402-1644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2342
MS
225X00000X
Occupational Therapist
Primary
0258
MS
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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