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Individual

MRS. GEORGIA COURTENAY SALLOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12261 HIGHWAY 49 STE 1, GULFPORT, MS 39503-2976
(228) 265-7185
Mailing address
11018 CHANNELSIDE DR, GULFPORT, MS 39503-6049
(228) 234-6882

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0675
MS

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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