Organization
KEITH VUNCANNON & BRAD STEPHENSON PTRS CARING HANDS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY KEITH VUNCANNON RPT (CO OWNER)
(662) 424-9500
Entity
Organization
Contact information
Practice address
503 CONSTITUTION DR, IUKA, MS 38852-8201
(662) 720-7050
(662) 720-7055
Mailing address
503 CONSTITUTION DR, IUKA, MS 38852-8201
(662) 424-9500
(662) 424-9592
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3039
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015370
—
MS
Enumeration date
01/31/2007
Last updated
06/23/2008
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