Eden Rehab LLC
NPI #1558664250 in Brandon, Mississippi
Provider Information
- NPI Number
- 1558664250
- Entity Type
- Organization
- Organization Name
- Eden Rehab LLC
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 19, 2010
- Last Updated
- Dec 19, 2010
Practice Location
- Address
- 6100 OLD BRANDON RD
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2543
- Phone
- (601) 933-1100
Authorized Official
- Name
- MR. KENNETH J RICHE, PTA
- Title
- MEMBER
- Phone
- (601) 573-9974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
| Physical Therapy Assistant |
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