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General NPI Number Information
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NPI Number | 1528012739
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Entity Type | Organization
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Legal Business Name | RE-ABILITY THERAPY LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1007 ELMS CV
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City | RIDGELAND
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State | MS
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Zip | 39157-1046
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Country | US
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Telephone | 601-842-6612
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Fax | 601-853-8156
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Provider Business Mailing Address
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Address Line | 1007 ELMS CV
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City | RIDGELAND
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State | MS
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Zip | 39157-1046
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Country | US
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Telephone | 601-842-6612
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Fax | 601-853-8156
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Authorized Official
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Title or Position | CO-OWNER, PRESIDENT
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Name | MR. CLARENCE DWAYNE SINGLETARY
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Credential | RPT
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Telephone | 601-842-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3303
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT0483
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License Number State | MS
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