Individual
DR. TAYLOR TUBERTINI MATTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12449 US 49, SUITE C, GULFPORT, MS 39503-3950
(228) 872-6836
Mailing address
980 COURTHOUSE RD APT 924, GULFPORT, MS 39507-4288
(228) 324-0264
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-7129
MS
Other
Enumeration date
07/13/2021
Last updated
10/12/2021
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