Organization
COASTAL THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS ELKINS (OFFICE MANAGER)
(228) 467-6955
Entity
Organization
Contact information
Practice address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 467-6955
(228) 467-2890
Mailing address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 467-6955
(228) 467-2890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23OT022
MS
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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