Organization
COASTAL REHABILITATION OF SOUTH MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE FRAME PT (OWNER)
(228) 831-4646
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, SUITE 110, GULFPORT, MS 39503-3485
(228) 831-4646
Mailing address
15190 COMMUNITY RD, SUITE 110, GULFPORT, MS 39503-3485
(228) 831-4646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08220738
—
MS
01
—
6408090089
BCBS
MS
Enumeration date
08/29/2006
Last updated
08/22/2020
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