Organization
REHAB TECHNOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDRAKSHI DUBEY OTR/L (PRESIDENT)
(662) 269-0420
Entity
Organization
Contact information
Practice address
1890 GOODMAN RD E, SOUTHAVEN, MS 38671-9504
(662) 269-0420
(662) 589-6525
Mailing address
1890 GOODMAN RD E, SOUTHAVEN, MS 38671-9504
(662) 269-0420
(662) 589-6525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TA3236
MS
225X00000X
Occupational Therapist
OT0732
MS
235Z00000X
Speech-Language Pathologist
ST3991
MS
Other
Enumeration date
07/22/2016
Last updated
08/31/2016
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