Organization
COAST TO COAST REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRIAN NORELL FLOWERS PHYSICAL THERAPIST (PHYSICAL THERAPIST)
(228) 366-0281
Entity
Organization
Contact information
Practice address
3537 DENNY AVE, SUITE 115, PASCAGOULA, MS 39581
(228) 366-0281
Mailing address
P.O. BOX 1702, GAUTIER, MS 39581
(228) 366-0281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4308
MS
225400000X
Rehabilitation Practitioner
PT4308
MS
225C00000X
Rehabilitation Counselor
PT4308
MS
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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