Organization
TOTAL BODY REHABILITATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIONA JAMEIL DORSEY DPT (PHYSICAL THERAPIST/OWNER)
(662) 719-5269
Entity
Organization
Contact information
Practice address
70 DELTA ST, ROLLING FORK, MS 39159-5117
(662) 719-5269
Mailing address
57 OASIS ROAD, ROLLING FORK, MS 39159-2631
(662) 795-0432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
07/21/2021
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