| NPI | 1518011816 |
|---|---|
| Doing Business As | DELTA REHAB |
| Entity Type | Organization |
| Authorized Contact | JO LYNN LYNN BOULAND Administrator 870-208-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-08-16 |