Organization
ACTIVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN AUGUST WORREL JR. DPT (PT/OWNER)
(601) 297-1740
Entity
Organization
Contact information
Practice address
3818 HARDY ST # 20, HATTIESBURG, MS 39402-1539
(601) 602-4652
(769) 390-7918
Mailing address
3818 HARDY ST STE 20, HATTIESBURG, MS 39402-1539
(601) 602-4652
(769) 390-7918
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
05/06/2025
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