Organization
REHABILITATION SERVICES OF CLEVELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN H. HERRICK (BILLING)
(662) 843-3004
Entity
Organization
Contact information
Practice address
712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
(662) 843-3004
(662) 843-0820
Mailing address
712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
(662) 843-3004
(662) 843-0820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1494
MS
225X00000X
Occupational Therapist
OT0355
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117850
—
MS
05
—
00117948
—
MS
Enumeration date
01/18/2007
Last updated
11/01/2010
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