Organization
ENCORE REHABILITATION INC
Active
Other names
Encore Rehab of Starkville
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENDERSON (PRESIDENT)
(256) 350-1764
Entity
Organization
Contact information
Practice address
450 HIGHWAY 12 W, SUITE D, STARKVILLE, MS 39759-3697
(662) 324-1314
(662) 324-1317
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI
MS
Enumeration date
11/15/2012
Last updated
11/30/2012
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