Premier Rehab
NPI #1790921724 in Tougaloo, Mississippi
Provider Information
- NPI Number
- 1790921724
- Entity Type
- Organization
- Organization Name
- Premier Rehab
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 22, 2008
- Last Updated
- Dec 22, 2008
Practice Location
- Address
- 500 WEST COUNTYLINE RD
- City
- Tougaloo
- State
- Mississippi
- ZIP Code
- 39174
- Phone
- (601) 636-6019
Authorized Official
- Name
- TERRANCE D NICKENS, PT
- Title
- OWNER
- Phone
- (601) 636-6019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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