Organization
TRINITY REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KAREL SPEETJENS (PRESIDENT OWNER)
(601) 206-9195
Entity
Organization
Contact information
Practice address
13 NORTHTOWN DR, SUITE 110, JACKSON, MS 39211-3047
(601) 206-9195
(601) 957-8391
Mailing address
PO BOX 315, RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014160
—
MS
Enumeration date
10/04/2006
Last updated
10/17/2011
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