Organization
GULF COAST PHYSICAL THERAPY CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL N PHILLIPS PT (SECRETARY)
(228) 822-9066
Entity
Organization
Contact information
Practice address
1025 DIVISION ST STE A, BILOXI, MS 39530-2910
(228) 267-3582
(228) 822-9722
Mailing address
PO BOX 3238, GULFPORT, MS 39505-3238
(228) 822-9066
(228) 822-9722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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