Organization
QUALITY CARE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LEE REYNOLDS COTA/L (PRESIDENT)
(601) 720-7206
Entity
Organization
Contact information
Practice address
3825 OLD BRANDON RD, PEARL, MS 39208-4036
(601) 720-7206
(601) 724-5177
Mailing address
186 CROSSVIEW PL, BRANDON, MS 39047-6623
(601) 720-7206
(601) 724-5177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07437361
—
MS
Enumeration date
08/21/2013
Last updated
12/22/2020
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