Individual
BLAIR GUICE ADERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 BROAD AVE, GULFPORT, MS 39501-3601
(228) 861-5397
Mailing address
6811 OLD FORT BAYOU RD, OCEAN SPRINGS, MS 39564-7988
(228) 861-5397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7286
MS
Other
Enumeration date
03/04/2025
Last updated
03/07/2025
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