Old Colony Rehabilitation LLC

NPI #1740060045 in Port Gibson, Mississippi

Provider Information

NPI Number: 1740060045
Entity Type: Organization
Organization Name: Old Colony Rehabilitation LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 3, 2023
Last Updated: Oct 3, 2023

Practice Location

Address: 6161 HIGHWAY 547
City: Port Gibson
State: Mississippi
ZIP Code: 39150-2912
Phone: (601) 529-9084

Authorized Official

Name: SUMMER FIFE, OT
Title: OWNER
Phone: (601) 529-9084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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