NPI 1588781181

Upa PLLC Rehabilitation

Organisation Pediatric Rehabilitation Medicine Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-2940

Authorised official

Name: Owen B Evans
Title: Managing Employee
Phone: (601) 984-5214

Registered specialties

Pediatric Rehabilitation Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P0010X

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1588781181
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.