Individual
MR. MARK ORSON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15476A DEDEAUX RD, GULFPORT, MS 39503-2637
(228) 539-3232
Mailing address
106 OAKS BLVD, BAY ST LOUIS, MS 39520-3016
(228) 216-2408
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT3297
MS
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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