Organization
COMMUNITY REHAB OF GREENVILLE INC
Active
Other names
Community Rehab Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE L FAYARD PT (OWNER/MANAGER)
(228) 832-8327
Entity
Organization
Contact information
Practice address
11010 DAVID ST, GULFPORT, MS 39503-3481
(228) 832-8327
(228) 832-8328
Mailing address
11010 DAVID ST, GULFPORT, MS 39503-3481
(228) 832-8327
(228) 832-8328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/23/2019
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