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NPI Code Detail

MEDICARE: IRBY REHAB, LLC

MEDICARE: IRBY REHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1023723350
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRBY REHAB, LLC
Provider Business Mailing Address
First Line : 6488B SHANNON RD
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-8594
Country : US
Telephone Number : 731-307-7531
Fax Number :
Provider Business Practice Location Address
First Line : 314 S MULBERRY AVE
Second Line :
City : BUTLER
State : AL
Zip : 36904-2528
Country : US
Telephone Number : 731-307-7531
Fax Number :
Authorized Official
Title or Position : CEO/PHYSICAL THERAPIST
Name : SUSAN IRBY
Credential : PT, DPT
Telephone Number : 731-307-7531
Provider Enumeration Date : 01/20/2023
Last Update Date : 01/20/2023

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Directions to “IRBY REHAB, LLC ” Practice Location

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