Organization
REHABILITATION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BUTCH SLAUGHTER P.T. (OWNER)
(601) 906-0386
Entity
Organization
Contact information
Practice address
820 COOPER RD STE J, JACKSON, MS 39212-4099
(601) 906-0386
(601) 487-6931
Mailing address
820 COOPER RD STE J, JACKSON, MS 39212-4099
(601) 906-0386
(601) 487-6931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
PT0161
MS
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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