Organization
DELTA THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY CHILES (BILLING OFFICE MANAGER)
(318) 574-5273
Entity
Organization
Contact information
Practice address
610 MARKET ST, PORT GIBSON, MS 39150-2330
(601) 437-3299
(601) 437-3298
Mailing address
PO BOX 968, TALLULAH, LA 71284-0968
(318) 574-5273
(318) 574-2218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523574
—
MS
Enumeration date
05/24/2018
Last updated
01/19/2023
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