Organization
NEURO REHAB OF THE MID-SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE HANSON OTD, OTR/L (OCCUPATIONAL THERAPIST, OWNER)
(870) 565-6139
Entity
Organization
Contact information
Practice address
5810 SHELBY OAKS DR STE B, MEMPHIS, TN 38134-7315
(870) 565-6139
Mailing address
10477 LOW BRIDGE RD, OLIVE BRANCH, MS 38654-5584
(870) 565-6139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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