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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