Organization
VICTORY REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERISON D SPEER PT (PT)
(706) 507-5917
Entity
Organization
Contact information
Practice address
122 ENTERPRISE CT STE E, COLUMBUS, GA 31904-3651
(705) 507-5917
(706) 887-4818
Mailing address
122 ENTERPRISE CT STE E, COLUMBUS, GA 31904-3651
(706) 507-5917
(706) 887-4818
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
01/07/2019
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