Organization Name: | PARAGON REHAB, LLC |
NPI Number: | 1306145958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALLY MCCOY (ADMINISTRATOR) |
Mailing Address: | 323 Industrial Park Liberty |
State: | MS US |
Postal Code: | 396458069 |
Phone Number: | 6016571000 |
Fax Number: | 6016579121 |
NPI Enumeration Date: | 03/22/2011 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 0958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |