Organization
CHILDREN'S REHAB
Active
Other names
Children's Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ELIZABETH ROBERSON PT (PT/OWNER)
(601) 345-4180
Entity
Organization
Contact information
Practice address
1050 N FLOWOOD DR STE A2, FLOWOOD, MS 39232-9738
(601) 345-4180
(601) 345-4790
Mailing address
1050 N FLOWOOD DR STE A2, FLOWOOD, MS 39232-9738
(601) 345-4180
(601) 345-4790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03234869
—
MS
Enumeration date
11/12/2018
Last updated
11/12/2018
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