Southeast Rehabilitation, LLC
NPI #1588848618 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1588848618
- Entity Type
- Organization
- Organization Name
- Southeast Rehabilitation, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Jul 17, 2015
Practice Location
- Address
- 3999 HWY PP
- Address 2
- SUITE 2
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901
- Phone
- (573) 712-2280
Authorized Official
- Name
- KYLEE ELLSWORTH
- Title
- OFFICE MANAGER
- Phone
- (573) 712-2280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center - Physical Therapy — Physical Therapy |
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