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1053883850
ACTIVE RECOVERY LLC
HATTIESBURG, MS
NPI
1053883850
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Entity Type
Organization
Authorized Contact
STEPHEN AUGUST WORREL
PT/Owner
601-297-1740
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2018-12-19
Last Update Date
2019-03-14
Business Address
ACTIVE RECOVERY LLC
3906 HARDY ST # 15
HATTIESBURG, MS 39402-1683
Phone number: 601-297-1740
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Mailing Address
ACTIVE RECOVERY LLC
500 MAMIE ST
HATTIESBURG, MS 39401-5042
Phone number: 601-297-1740
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