Organization
TOTAL REHAB PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARIE VON ANTZ PT (PHYSICAL THERAPIST ADMINISTRATOR)
(228) 255-3533
Entity
Organization
Contact information
Practice address
4363 C LEISURETIME DR, DIAMONDHEAD, MS 39525
(228) 255-3533
(228) 255-3536
Mailing address
PO BOX 339, LONG BEACH, MS 39560
(228) 864-5568
(228) 864-4385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015135
—
MS
Enumeration date
01/08/2007
Last updated
08/22/2020
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