Organization
GULF COAST PHYSICAL THERAPY CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL N PHILLIPS PT (SECRETARY)
(228) 864-1212
Entity
Organization
Contact information
Practice address
1721 MEDICAL PARK DR STE 102, BILOXI, MS 39532-2105
(228) 396-3374
(228) 936-3379
Mailing address
1721 MEDICAL PARK DR STE 102, BILOXI, MS 39532-2105
(228) 396-3374
(228) 396-3379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05225878
—
MS
Enumeration date
10/19/2006
Last updated
08/22/2020
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