Organization
MID SOUTH REHAB SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MORGAN (HR REPRESENTATIVE)
(601) 605-6777
Entity
Organization
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157
(601) 605-6777
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2824
MS
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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