Tri-Vista Rehab, INC
NPI #1386240893 in Plantersville, Mississippi
Provider Information
- NPI Number
- 1386240893
- Entity Type
- Organization
- Organization Name
- Tri-Vista Rehab, INC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Dec 9, 2020
Practice Location
- Address
- 2554 MAIN ST
- City
- Plantersville
- State
- Mississippi
- ZIP Code
- 38862-7908
- Phone
- (662) 407-0301
Authorized Official
- Name
- KEVIN BOUTIN, OTR
- Title
- PRESIDENT
- Phone
- (662) 840-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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