Organization
OMNI MEDICAL AND REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DEAN (PRESIDENT)
(731) 783-3333
Entity
Organization
Contact information
Practice address
1086 W VAN HOOK ST, MILAN, TN 38358-3026
(731) 783-3333
Mailing address
1086 W VAN HOOK ST, MILAN, TN 38358-3026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000017177
TN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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