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Organization

SENTRY REHAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONJA SHARP WATKINS (CFO)
(601) 824-9010
Entity
Organization

Contact information

Practice address
106A OFFICE PARK DR, BRANDON, MS 39042-2404
(601) 824-9010
(601) 824-9044
Mailing address
106A OFFICE PARK DR, BRANDON, MS 39042-2404
(601) 824-9010
(601) 824-9044

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
Primary
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
363L00000X
Nurse Practitioner

Other

Enumeration date
01/04/2017
Last updated
07/17/2019
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