Organization
OLD COLONY REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER FIFE OT (OWNER)
(601) 529-9084
Entity
Organization
Contact information
Practice address
6161 HIGHWAY 547, PORT GIBSON, MS 39150-2912
(601) 529-9084
Mailing address
6161 HIGHWAY 547, PORT GIBSON, MS 39150-2912
(601) 529-9084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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