Paragon Rehab, LLC

NPI #1306145958 in Liberty, Mississippi

Provider Information

NPI Number: 1306145958
Entity Type: Organization
Organization Name: Paragon Rehab, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CLC OF LIBERTY, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 22, 2011
Last Updated: Mar 22, 2011

Practice Location

Address: 323 INDUSTRIAL PARK
City: Liberty
State: Mississippi
ZIP Code: 39645-8069
Phone: (601) 657-1000

Authorized Official

Name: SALLY MCCOY
Title: ADMINISTRATOR
Phone: (601) 657-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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