Organization
CHR OF BOONEVILLE, INC.
Active
Organization
CHR OF BOONEVILLE, INC.
Active
Other names
Caring Hands Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY JEFF STEPHENSON PT (PHYSICAL THERAPIST / CLINIC OWNER)
(662) 720-7050
Entity
Organization
Contact information
Practice address
2405D E CHAMBERS DR, BOONEVILLE, MS 38829-8927
(662) 720-7050
(662) 720-7055
Mailing address
2405D E CHAMBERS DR, BOONEVILLE, MS 38829-8927
(662) 720-7050
(662) 720-7055
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3039
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009015370
—
MS
Enumeration date
12/18/2008
Last updated
11/07/2022
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