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Contact Information

COVENANT HEALTH & REHAB OF VICKSBURG, LLC
2850 PORTERS CHAPEL RD
VICKSBURG, MS39180-1805
 Phone: 601-638-9211
 Fax: 601-636-4986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COVENANT HEALTH REHAB OF VICKSBURG LLC · (Female)

NPI Number 1073842829
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2009
Last updated 04/12/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 01787098
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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