| Southern Rehab Specialists, Llc | |
|
3216 Mustang Ct, Herrin, IL 62948-3783 | |
| (618) 559-5610 | |
| Not Available |
| Full Name | Southern Rehab Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 3216 Mustang Ct, Herrin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699020552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.007020 (Illinois) | Primary |
| 235Z00000X | Speech-language Pathologist | 146.009800 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Rehab Specialists, Llc 3216 Mustang Ct, Herrin, IL 62948-3783 Ph: (618) 559-5610 | Southern Rehab Specialists, Llc 3216 Mustang Ct, Herrin, IL 62948-3783 Ph: (618) 559-5610 |
Mr. Andrew Patrick Smith, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Sharmisha Benjamin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 N 14th Street, Herrin, IL 62948 Phone: 618-942-7391 | |
Geraldine Uy Eichhorn, OTR/L, BCN Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4928 | |
Ms. Jennifer Sue Wade, MOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 N 11th St, Herrin, IL 62948 Phone: 618-942-2436 | |
Mrs. Dena Leigh Kirk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Park Ave, Herrin, IL 62948 Phone: 618-942-3088 Fax: 618-942-7116 | |
Miss Brandi Rose Kirby, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Mr. Mark Anthony Abel Basco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4926 |