Vip Rehab, INC

NPI #1639268071 in Philadelphia, Mississippi

Provider Information

NPI Number: 1639268071
Entity Type: Organization
Organization Name: Vip Rehab, INC
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 12, 2006
Last Updated: Nov 2, 2010

Practice Location

Address: 1058 HOLLAND AVE
City: Philadelphia
State: Mississippi
ZIP Code: 39350-9121
Phone: (601) 650-9111

Authorized Official

Name: MR. TERRY MARK WINSTEAD, OTR/L
Title: OWNER/THERAPIST
Phone: (601) 650-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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