Organization
ALCORN REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE STEWART PHYSICAL THERAPIST (OWNER/PT)
(662) 284-4656
Entity
Organization
Contact information
Practice address
1708 E SHILOH RD, CORINTH, MS 38834-3635
(662) 284-4656
(662) 665-0836
Mailing address
1708 E SHILOH RD, CORINTH, MS 38834-3635
(662) 284-4656
(662) 665-0836
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5927860001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123001
—
MS
01
—
3149357
BC/BS OF TN
MS
Enumeration date
08/30/2006
Last updated
04/20/2008
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