Organization
CORNERSTONE REHABILITATION OF SOUTHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA H THOMPSON (OWNER/PRESIDENT)
(662) 473-1667
Entity
Organization
Contact information
Practice address
484 CHURCH RD E, SOUTHAVEN, MS 38671-9714
(662) 349-2489
(662) 349-2966
Mailing address
50 S MAIN ST, WATER VALLEY, MS 38965-2946
(662) 473-1667
(662) 473-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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