Organization
ENCORE REHABILITATION INC
Active
Other names
Encore Rehab of Diamondhead
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENDERSON PT (PRESIDENT)
(256) 350-1764
Entity
Organization
Contact information
Practice address
5427 GEX RD, SUITE B, DIAMONDHEAD, MS 39525-3208
(228) 222-4765
(228) 222-4775
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3339
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
Enumeration date
11/22/2013
Last updated
12/02/2020
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