Organization Name: | RIVER CITY REHABILITATION LLC |
NPI Number: | 1083607220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINA L ASHFORD (MANAGER) |
Mailing Address: | 1707 South Colorado Suite A Greenville |
State: | MS US |
Postal Code: | 38703 |
Phone Number: | 6623358332 |
Fax Number: | 6623358852 |
NPI Enumeration Date: | 08/23/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0713 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |